Individual
ELLIANA KASTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2945 LINCOLN DR, ROSEVILLE, MN 55113-1338
(651) 628-3000
Mailing address
13723 86TH AVE N, MAPLE GROVE, MN 55369-4602
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
107113
MN
Other
Enumeration date
10/10/2023
Last updated
10/10/2023
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