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

Individual provider Occupational Therapist · NPI 1023624483

Katherine Hailey Lake, OTR/L is an Occupational Therapist in Roseville, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2020
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

1835 County Road C W
Roseville, MN 55113-1352
Phone: (651) 638-0080
Fax: (651) 638-0020
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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 107723 (MN)

Record details

NPI number1023624483
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorYes
NPI enumeratedSeptember 21, 2020
Last updated in NPPESMarch 17, 2025
Certification dateMarch 17, 2025

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