Individual
KATIE MARIE HAFERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
8290 UNIVERSITY AVE NE STE 200, FRIDLEY, MN 55432-1876
(763) 786-9543
(763) 786-3320
Mailing address
4200 DAHLBERG DR STE 300, GOLDEN VALLEY, MN 55422-4841
(952) 512-5600
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
104081
MN
225X00000X
Occupational Therapist
5269-26
WI
Other
Enumeration date
03/21/2011
Last updated
08/13/2019
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