Individual
MARGRET KALLSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
929 ADAMS ST., ANOKA, MN 55303
(763) 313-2775
Mailing address
929 ADAMS ST, ANOKA, MN 55303-2623
(763) 313-2775
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
104853
MN
Other
Enumeration date
06/21/2017
Last updated
07/21/2022
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