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:
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Health care specialties

SpecialtyCodeLicense #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 18 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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