Individual
KIMBERLY LATENDRESSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
3700 FOSS RD, MINNEAPOLIS, MN 55421-4512
(612) 913-5317
Mailing address
3700 FOSS RD, MINNEAPOLIS, MN 55421-4512
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
202215
MN
Other
Enumeration date
02/27/2022
Last updated
02/27/2022
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