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

Mariah Kathleen Picka

Individual provider Occupational Therapy Assistant · NPI 1104419639

Mariah Kathleen Picka is an Occupational Therapy Assistant in Lake Elmo, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2021

Practice location Address checks out

12910 12th St N
Lake Elmo, MN 55042-8602
Phone: (651) 242-3453
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 449927 (MN)

Record details

NPI number1104419639
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 16, 2021
Last updated in NPPESFebruary 16, 2021
Certification dateFebruary 16, 2021