Individual
ELLISSA A KURK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, OTR/L
Contact information
Practice address
2512 S 7TH ST, MINNEAPOLIS, MN 55454-1404
(612) 273-7100
Mailing address
2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454-1450
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1202240
TX
225100000X
Physical Therapist
25294
FL
225100000X
Physical Therapist
9175
MN
225X00000X
Occupational Therapist
Primary
104202
MN
225X00000X
Occupational Therapist
114446
TX
225X00000X
Occupational Therapist
OT13409
FL
Other
Enumeration date
02/24/2009
Last updated
09/25/2013
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