Individual
MRS. KATHRYN ANN YAEGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
5504 45TH AVE S, MINNEAPOLIS, MN 55417-2337
(651) 248-4028
Mailing address
5504 45TH AVE S, MINNEAPOLIS, MN 55417-2337
(651) 248-4028
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
202629
MN
Other
Enumeration date
09/01/2021
Last updated
09/01/2021
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