Individual
KATHARINE MARIE CAPPOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
3525 MONTEREY DR, ST LOUIS PARK, MN 55416-5275
(952) 993-6200
Mailing address
3525 MONTEREY DR, ST LOUIS PARK, MN 55416-5275
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
103925
MN
Other
Enumeration date
11/16/2010
Last updated
11/16/2010
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