Individual
KATRINA MARIE MINTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
5210 RIVER RD N, KEIZER, OR 97303-4568
(503) 393-3624
Mailing address
1174 MADDY AVE NE, KEIZER, OR 97303-4118
(503) 390-0661
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
247693
OR
Other
Enumeration date
09/08/2008
Last updated
04/21/2013
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