Kathryn Ann Vidal
Occupational Therapist - Gerontology
135 Geranium Ave E
Saint Paul
, Minnesota 55117-5007
Kathryn Ann Vidal
Occupational Therapist - Gerontology
135 Geranium Ave E
Saint Paul
, Minnesota 55117-5007
(952) 955-2010
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About
Features
Specialties
- Occupational Therapist - Gerontology
Languages spoken
- English
Location
First Address
- Kathryn Ann Vidal
- 200 Lewis Ave S Suite 210
- Watertown, MN
- Zip : 55388-4545
- Fax : (952) 955-2010
- Phone : (952) 955-2242
Second Address
- Kathryn Ann Vidal
- 135 Geranium Ave E
- Saint Paul, MN
- Zip : 55117-5007
- Fax : (651) 488-7408
- Phone : (651) 272-4501
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225XG0600X | Occupational Therapist - Gerontology | 104200 | MN |
National Provider Identifier
| NPI | 1194186049 |
|---|---|
| Provider Name | Kathryn Ann Vidal |
| First Address | Watertown, MN 55388-4545 |
| Second Address | Saint Paul, MN 55117-5007 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/03/2016 |
| Last Update Date | 18/03/2016 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.