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Individual

KATHLEEN THOMASON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
3401 E MEDICINE LAKE BLVD, PLYMOUTH, MN 55441-2307
(763) 559-3123
(763) 559-3667
Mailing address
812 W MAIN ST, BELLE PLAINE, MN 56011-1224

Taxonomy

Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
104723
MN

Other

Enumeration date
12/23/2014
Last updated
12/23/2014
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