Individual
KYLEE BREANNE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
622 ABERDEEN AVE, JORDAN, MN 55352-9516
(952) 492-5559
Mailing address
505 LYNCH ST, ARLINGTON, MN 55307-2071
(320) 510-5377
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
202857
MN
Other
Enumeration date
06/12/2024
Last updated
06/12/2024
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