Individual
KRYSTAL LAUREN BALSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454-1450
(612) 365-1000
Mailing address
7214 E FISH LAKE CIR, MAPLE GROVE, MN 55311-3312
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
106056
MN
Other
Enumeration date
09/16/2019
Last updated
08/13/2021
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