Individual
MYRIA KIRKPATRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
800 BOONE AVE N, 200, GOLDEN VALLEY, MN 55427-4468
(763) 417-8888
Mailing address
5913 W 25 1/2 ST, ST LOUIS PARK, MN 55416-1717
(612) 508-4980
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
201981
MN
Other
Enumeration date
11/17/2016
Last updated
11/17/2016
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