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NPI Code Detail

MEDICARE: KATHRYN M MILBERT OTR/L

MEDICARE: KATHRYN M MILBERT OTR/L
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist10046MN

General Provider Information

NPI Number : 1225495567
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHRYN M MILBERT OTR/L
Provider Business Mailing Address
First Line : 710 COMMERCE DR STE 200
Second Line :
City : WOODBURY
State : MN
Zip : 55125-4925
Country : US
Telephone Number : 651-968-5201
Fax Number :
Provider Business Practice Location Address
First Line : 280 SMITH AVE N STE 500
Second Line :
City : SAINT PAUL
State : MN
Zip : 55102-2463
Country : US
Telephone Number : 651-968-5201
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/18/2016
Last Update Date : 07/21/2022

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Directions to “ KATHRYN M MILBERT OTR/L” Practice Location

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