Individual
KATHERINE HENDRICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
100253
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
273R4HE
BCBS
MN
05
—
616055700
—
MN
01
—
6404177
MEDICA
MN
Enumeration date
09/27/2006
Last updated
07/09/2007
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