Individual
MRS. TAKAKO FUKUDA TRUSKINOVSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
4330 CEDAR LAKE RD S, ST LOUIS PARK, MN 55416-3700
(952) 381-3434
(952) 377-1430
Mailing address
1445 UTAH AVE S, ST LOUIS PARK, MN 55426-1921
(952) 381-3434
(952) 377-1430
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6034
MN
Other
Enumeration date
06/13/2008
Last updated
06/13/2008
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