Individual
KIAH VAN HORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
2448 18TH AVE S, MINNEAPOLIS, MN 55404-4006
(941) 773-1098
Mailing address
2448 18TH AVE S, MINNEAPOLIS, MN 55404-4006
(941) 773-1098
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
104851
MN
Other
Enumeration date
07/02/2015
Last updated
07/06/2021
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