Katlack, Jenny Mae
Katlack, Jenny Mae is an individual health care provider with primary practice located at 7900 W 28Th St , St Louis Park MN 55426-3011. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, which is considered as her primary health care specialty. Katlack, Jenny Mae can be contacted via phone (952) 920-8380.Contact Information
Primary practice address
7900 W 28Th St
St Louis Park MN 55426-3011
Phone: (952) 920-8380
Fax: (952) 920-7866
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant | 224Z00000X | 200995 | Minnesota |
Profile Details
NPI number | 1174794341 |
---|---|
LBN Legal business name | Katlack, Jenny Mae |
Credentials | COTA/L |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 17th, 2008 |
Last updated | Mar 17th, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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