Individual provider · Type 1 NPI

Kim Louise Lavine, OTR/L

Occupational Therapist · Bagley, MN

NPI number 1902103989 Active

Practice location

18802 County 39
Bagley, MN 56621-4906

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X102598 (MN)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1902103989

Kim Louise Lavine, OTR/L's National Provider Identifier is 1902103989, issued on Feb 28, 2011. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Bagley, MN. The record was last updated on Nov 1, 2026.