Individual
KATHERINE ROSE BERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3525 MONTEREY DR, ST LOUIS PARK, MN 55416-5275
(952) 993-5631
(952) 993-5631
Mailing address
7170 RIVERVIEW TER NE, FRIDLEY, MN 55432-3045
(763) 267-8435
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
107116
MN
Other
Enumeration date
05/15/2023
Last updated
05/15/2023
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