Individual
RACHEL ILSTRUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12 1ST AVE S, BUFFALO, MN 55313-1409
(763) 682-7774
Mailing address
12 1ST AVE S, BUFFALO, MN 55313-1409
(763) 682-7774
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
9624
MN
Other
Enumeration date
03/23/2016
Last updated
03/23/2016
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