Individual
NILE GUY KAUFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
27274 MONUMENT RD, BROOK PARK, MN 55007-2196
(320) 438-4001
Mailing address
PO BOX 21, BROOK PARK, MN 55007-0021
(320) 438-4001
Taxonomy
Speciality
Code
Description
License number
State
225XM0800X
Mental Health Occupational Therapist
Primary
—
—
Other
Enumeration date
10/14/2024
Last updated
10/14/2024
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