Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kallie Petricka, OTR/L

Individual provider Pediatric Occupational Therapist · NPI 1801287081

Kallie Petricka, OTR/L is a Pediatric Occupational Therapist in Eagan, Minnesota. Licensed in Minnesota. Registered with an NPI since 2015.

Licensed in
MN
In the registry since
2015
Specialties on file
2
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

3305 Central Park Village Dr Ste 130
Eagan, MN 55121-7707
Phone: (651) 406-8868
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 104754 (MN)
Pediatric Occupational Therapist Taxonomy 225XP0200X

Record details

NPI number1801287081
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedFebruary 10, 2015
Last updated in NPPESJuly 21, 2022

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