Katherine Claire Dittmann, COTA
Individual provider Active NPI Occupational Therapy Assistant · Wadena, MN
NPI 1386808293 · NPPES record last updated Jan 7, 2013
Key facts
- NPI
- 1386808293
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 201790 (MN)
- Practice address
- 415 Jefferson St N
Wadena, MN 56482-1264 - Phone
- (218) 631-7475
- NPI assigned
- Jul 10, 2008
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 201790 | MN | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 201790 | MN | Yes |
Addresses
Primary practice location
415 Jefferson St N
Wadena, MN 56482-1264
Mailing address
415 Jefferson St N
Wadena, MN 56482-1264
Phone (218) 631-7475
Other providers in Wadena, MN
- Robert P. Davis
- Stephen E Davis
- Miriam A Decock
- Vickie L Dennis
- Sulma Disselbrett
- Pam J Doebbeling
- Lainie Marie Donahue
- William John Dorholt
- Rachelle Doucette
- Laura J Duchene
All providers in Wadena, MN · Occupational Therapy Assistant in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 7, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.