Individual
MS. JORDAN LINDSEY KITCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
901 9TH ST N, VIRGINIA, MN 55792-2325
(218) 741-3340
Mailing address
400 E 3RD ST, DULUTH, MN 55805-1951
(218) 786-8364
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
105651
MN
225X00000X
Occupational Therapist
6442-26
WI
Other
Enumeration date
02/11/2019
Last updated
09/30/2021
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