Individual
KAITLYN COFFARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
9220 BASS LAKE RD STE 350, NEW HOPE, MN 55428-3095
(763) 208-9545
Mailing address
2904 LYNDALE AVE S APT 524, MINNEAPOLIS, MN 55408-4878
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
106029
MN
Other
Enumeration date
09/12/2019
Last updated
09/12/2019
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