Individual
KATY MARIE HOLTHAUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
7624 EXECUTIVE DR, EDEN PRAIRIE, MN 55344-3677
(952) 944-0240
Mailing address
7624 EXECUTIVE DR, EDEN PRAIRIE, MN 55344-3677
(952) 944-0240
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
202465
MN
Other
Enumeration date
09/10/2019
Last updated
08/10/2021
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