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Individual

AMANDA RAE KOETHE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
4050 COON RAPIDS BLVD NW, COON RAPIDS, MN 55433-2522
(763) 236-6000
Mailing address
750 DUTCH LAKE DR, HOWARD LAKE, MN 55349-5435

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary

Other

Enumeration date
05/21/2017
Last updated
04/05/2020
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