| NPI | 1205156015 |
|---|---|
| Former Name | KATIE RAE ANDERSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: ND 834) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MN 102640) |
| Enumeration Date | 2010-06-03 |
| Last Update Date | 2010-06-03 |