Individual
KATHRYN PUKLICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT, PT
Contact information
Practice address
7872 CENTURY BLVD, CHANHASSEN, MN 55317-8005
(952) 448-9081
Mailing address
7872 CENTURY BLVD, CHANHASSEN, MN 55317-8005
(952) 448-9081
(952) 448-9088
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13410
MN
Other
Enumeration date
04/03/2024
Last updated
04/03/2024
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