Individual
KATHERINE LOUTCHKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4000 CENTRAL AVE NE, COLUMBIA HEIGHTS, MN 55421-2968
(763) 392-5625
Mailing address
5616 4TH ST NE, FRIDLEY, MN 55432-5503
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A949
MN
Other
Enumeration date
06/09/2009
Last updated
06/09/2009
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