Individual
KRISTA OSTERTAG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
145 221ST AVE NW, OAK GROVE, MN 55011-9608
(612) 888-4757
(763) 486-1367
Mailing address
145 221ST AVE NW, OAK GROVE, MN 55011-9608
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
9788
MN
Other
Enumeration date
10/11/2016
Last updated
10/11/2016
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