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

Individual provider Gerontology Occupational Therapist · NPI 1194186049

Kathryn Ann Vidal, OTR/L is a Gerontology Occupational Therapist in Saint Paul, Minnesota. Licensed in Minnesota. Registered with an NPI since 2016.

Licensed in
MN
In the registry since
2016
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

135 Geranium Ave E
Saint Paul, MN 55117-5007
Phone: (651) 272-4501
Fax: (651) 488-7408
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Occupational Therapist (primary) Taxonomy 225XG0600X · Licence 104200 (MN)

Record details

NPI number1194186049
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedMarch 18, 2016
Last updated in NPPESMarch 18, 2016

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