Individual
KIMBERLY STOKKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
8450 CITY CENTRE DR, WOODBURY, MN 55125-5308
(612) 220-2677
Mailing address
7225 GUIDER DRIVE APT 118, WOODBURY, MN 55125
(715) 308-1494
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
104727
MN
Other
Enumeration date
08/13/2014
Last updated
08/13/2014
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