Individual
KATIE JO THAYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2501 RICE LAKE RD, DULUTH, MN 55811-4819
(218) 625-6400
Mailing address
5965 S PIKE LAKE RD, DULUTH, MN 55811-9627
(218) 590-6039
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
106229
MN
Other
Enumeration date
01/18/2021
Last updated
01/18/2021
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