Individual
KATELYN A BRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
6500 EXCELSIOR BLVD, ST LOUIS PARK, MN 55426-4702
(952) 993-5990
Mailing address
6500 EXCELSIOR BLVD, ST LOUIS PARK, MN 55426-4702
(952) 993-5990
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
104814
MN
Other
Enumeration date
02/20/2012
Last updated
02/19/2015
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