Individual
IVY A KUSCHKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
407 E 3RD ST, DULUTH, MN 55805-1950
(218) 786-4000
Mailing address
1702 UNIVERSITY DR S, FARGO, ND 58103-4940
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
106190
MN
Other
Enumeration date
03/05/2020
Last updated
03/05/2020
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