Individual
MADELINE KONCILJA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3395 PLYMOUTH RD, MINNETONKA, MN 55305-3633
(952) 939-0396
Mailing address
1444 HOLTON ST, SAINT PAUL, MN 55108-2324
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
107642
MN
Other
Enumeration date
01/08/2025
Last updated
01/08/2025
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