Individual
MRS. KATHERINE CLAIRE DITTMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
415 JEFFERSON ST N, WADENA, MN 56482-1264
(218) 631-7475
Mailing address
415 JEFFERSON ST N, WADENA, MN 56482-1264
(218) 631-7475
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
201790
MN
Other
Enumeration date
07/10/2008
Last updated
01/07/2013
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