Provider Demographics
NPI:1093933988
Name:THURLOW, KATHRYN ANN (OTRL, CHT)
Entity Type:Individual
Prefix:
First Name:KATHRYN
Middle Name:ANN
Last Name:THURLOW
Suffix:
Gender:F
Credentials:OTRL, CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7610 YORK AVE S
Mailing Address - Street 2:#3304
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55435-5901
Mailing Address - Country:US
Mailing Address - Phone:952-835-4268
Mailing Address - Fax:
Practice Address - Street 1:800 E. 28TH STREET
Practice Address - Street 2:HAND REHAB SERVICE-#12105
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55407-3723
Practice Address - Country:US
Practice Address - Phone:612-863-5036
Practice Address - Fax:612-863-8942
Is Sole Proprietor?:No
Enumeration Date:2007-04-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN101355225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand