Individual
KAITLIN ROSE HALEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
9817 GARDEN LN, ROGERS, MN 55374-9775
(601) 392-2097
Mailing address
4707 HIGHWAY 61 N # 150, WHITE BEAR LAKE, MN 55110-3227
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
202711
MN
Other
Enumeration date
08/31/2023
Last updated
08/31/2023
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