Individual
MS. PAMELA RAYE KILLIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1 VETERANS DR, MINNEAPOLIS, MN 55417-2309
(612) 476-2140
(612) 727-5675
Mailing address
1 VETERANS DR, MINNEAPOLIS, MN 55417-2309
(612) 476-2140
(612) 727-5675
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
100996
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AA098350
NBCOT
—
Enumeration date
08/31/2006
Last updated
07/08/2007
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