Individual
KAITLYN STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2101 WOODDALE DR STE A, WOODBURY, MN 55125-2933
(651) 738-9888
Mailing address
3845 JOHNSON ST NE, COLUMBIA HEIGHTS, MN 55421
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
106354
MN
Other
Enumeration date
11/12/2020
Last updated
11/15/2021
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