IndividualActive
Kathryn Vidal, OTR/L
NPI 1194186049 · Gerontology Occupational Therapist · Saint Paul, MN
Provider details
- NPI number
- 1194186049
- Entity type
- Individual
- Primary specialty
- Gerontology Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OTR/L
- Sex
- Female
- Sole proprietor
- No
- License
- 104200 (MN)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
135 Geranium Ave E
Saint Paul, MN 55117-5007
Phone: (651) 272-4501
Fax: (651) 488-7408
Approximate (ZIP-level) locationGet directions
Mailing address
200 Lewis Ave S
Watertown, MN 55388-4545
Registry dates
- Enumerated
- 2016-03-18
- Last updated
- 2016-03-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.