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Katie Hautman

Occupational Therapist in Eden Prairie, MN. Individual provider (NPI-1).

NPI number1972348639
StatusActive
Last updated in NPPESJun 26, 2024

Details

NPI
1972348639
Entity type
Individual (NPI-1)
Name
Katie Hautman
Sex
Female
Sole proprietor
No
Enumeration date
Jun 26, 2024
Certification date
Jun 26, 2024
Last updated
Jun 26, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225X00000X Occupational Therapist106008MNYes

Practice location

6545 Flying Cloud Dr Ste 201
Eden Prairie, MN 55344-3356

Phone 612-364-1901

Mailing address

6545 Flying Cloud Dr Ste 201
Eden Prairie, MN 55344-3356

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