Individual
DIANA LYNN KALLEVIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1600 UNIVERSITY AVE W, SUITE 10, SAINT PAUL, MN 55104-3898
(651) 999-1048
Mailing address
1600 UNIVERSITY AVE W, SUITE 10, SAINT PAUL, MN 55104-3898
(651) 999-1048
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
08/22/2006
Last updated
07/08/2007
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