Individual
KRISTIN LE DEMARTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
3915 GOLDEN VALLEY RD, GOLDEN VALLEY, GOLDEN VALLEY, MN 55422-4249
(763) 588-0811
(763) 520-0355
Mailing address
3915 GOLDEN VALLEY RD, GOLDEN VALLEY, GOLDEN VALLEY, MN 55422-4249
(763) 588-0811
(763) 520-0355
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
103896 (TEMP)
MN
Other
Enumeration date
06/11/2010
Last updated
06/11/2010
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