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Contact Information

KATHRYN A VIDAL, OTR/L
135 GERANIUM AVE E
SAINT PAUL, MN55117-5007
 Phone: 651-272-4501
 Fax: 651-488-7408
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gerontology

225XG0600X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for KATHRYN A VIDAL · (Female)

NPI Number 1194186049
Status Active
Credentials OTR/L (Occupational Therapist, Registered, Licensed)
Entity Individual
Enumeration date 03/18/2016
Last updated 03/18/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 104200
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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