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Individual

KERI WALCZAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
9318 212TH ST W, LAKEVILLE, MN 55044-7299
(651) 335-1728
Mailing address
9318 212TH ST W, LAKEVILLE, MN 55044-7299

Taxonomy

Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
102753
MN

Other

Enumeration date
09/20/2018
Last updated
09/20/2018
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