Individual
KAITLYNE ASHLY MARIE DITTBERNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
5500 94TH AVE N, BROOKLYN PARK, MN 55443-1992
(763) 762-8800
Mailing address
636 5TH AVE S, SOUTH SAINT PAUL, MN 55075-2828
(612) 280-4605
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
107529
MN
Other
Enumeration date
08/14/2024
Last updated
08/14/2024
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