Individual
KATELYN ANN PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4255 LEXINGTON AVE N, ARDEN HILLS, MN 55126-6164
(952) 746-5350
Mailing address
14301 EWING AVE S, BURNSVILLE, MN 55306-4885
(952) 746-5350
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
224Z00000X
Occupational Therapy Assistant
Primary
—
—
247200000X
Other Technician
—
—
Other
Enumeration date
09/10/2020
Last updated
06/11/2024
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