Provider Demographics
NPI:1073997631
Name:STRANDELL, KATHRYN (COTA/L)
Entity Type:Individual
Prefix:
First Name:KATHRYN
Middle Name:
Last Name:STRANDELL
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 CHURCH ST
Mailing Address - Street 2:PO BOX 500
Mailing Address - City:ALCESTER
Mailing Address - State:SD
Mailing Address - Zip Code:57001-2134
Mailing Address - Country:US
Mailing Address - Phone:605-934-2011
Mailing Address - Fax:605-934-9923
Practice Address - Street 1:101 CHURCH ST
Practice Address - Street 2:
Practice Address - City:ALCESTER
Practice Address - State:SD
Practice Address - Zip Code:57001-2134
Practice Address - Country:US
Practice Address - Phone:605-934-2011
Practice Address - Fax:605-934-9923
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-14
Last Update Date:2024-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD334A224Z00000X
MN106630225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant