Individual
KATRINA COPPICUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
230 CHURCH STREET, ALBANY, MN 56307
(763) 689-5385
Mailing address
1575 AMBER DR, #206, SARTELL, MN 56377-4612
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
103150
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
082H9DA
BLUE CROSS BLUE SHIELD
MN
01
—
6405972
MEDICA
MN
01
—
HP56644
HEALTH PARTNERS
MN
Enumeration date
10/06/2006
Last updated
07/09/2007
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