Individual
KATIE JO DUFFY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR L
Contact information
Practice address
3915 GOLDEN VALLEY ROAD, COURAGE CENTER, GOLDEN VALLEY, MN 55422-4298
(763) 588-0811
(763) 520-0355
Mailing address
3915 GOLDEN VALLEY ROAD, COURAGE CENTER, GOLDEN VALLEY, MN 55422-4298
(763) 588-0811
(763) 520-0355
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
103181
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
162P3K0
BCBC MINNESOTA
MN
01
—
6405830
MEDICA
MN
01
—
HP52053
HEALTH PARTNERS
MN
Enumeration date
09/20/2006
Last updated
07/08/2007
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