Individual
SUPREET BUDHRAJA KATHPALIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS.OTR L
Contact information
Practice address
100 COBBLESTONE LANE, COURAGE BURNSVILLE, BURNSVILLE, MN 55306
(952) 898-5700
(952) 898-5757
Mailing address
100 COBBLESTONE LANE, COURAGE BURNSVILLE, BURNSVILLE, MN 55306
(952) 898-5700
(952) 898-5757
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
102853
MN
225XP0200X
Pediatric Occupational Therapist
Primary
102853
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6405884
MEDICA
—
01
—
77G06BU
BCBS
MN
01
—
HP48128
HEALTHPARTNERS
—
Enumeration date
06/20/2006
Last updated
08/15/2013
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