Individual
MS. KATHRYN NEOMA DOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
2225 E LAKE ST, MINNEAPOLIS, MN 55407-1932
(612) 668-5414
(612) 668-5446
Mailing address
4136 MORRILL LN, MINNEAPOLIS, MN 55406-3656
(612) 724-2010
(612) 722-6455
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
100667
MN
Other
Enumeration date
10/27/2006
Last updated
07/08/2007
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