Individual
KIM A BACZYNSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
971
WI
225X00000X
Occupational Therapist
Primary
103656
MN
Other
Enumeration date
12/06/2005
Last updated
08/10/2020
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