Individual
MRS. KATHERINE BLAIR HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
3525 MONTEREY DRIVE, ST. LOUIS PARK, MN 55416
(952) 993-6200
Mailing address
8170 33RD AVE S, MAIL STOP 21110Q, MINNEAPOLIS, MN 55440
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
103943
MN
Other
Enumeration date
11/23/2010
Last updated
05/16/2017
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