Individual provider · Type 1 NPI

Jenny Mae Katlack, COTA/L

Occupational Therapy Assistant · St. Louis Park, MN

NPI number 1174794341 Active

Practice location

7900 W 28th St
St. Louis Park, MN 55426-3011

Call (952) 920-8380 Map

Fax (952) 920-7866

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X200995 (MN)

Occupational Therapy Assistant: An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examinatio…

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About NPI 1174794341

Jenny Mae Katlack, COTA/L's National Provider Identifier is 1174794341, issued on Mar 17, 2008. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in St. Louis Park, MN. The record was last updated on Mar 17, 2008.