Individual
DANIELLE ANN PULKRABEK
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ATR, CSCS
Contact information
Practice address
2200 COMMERCE BLVD, MOUND, MN 55364-1547
(952) 495-2125
Mailing address
3145 HARBOR LN N, APT. 1-301, PLYMOUTH, MN 55447-5124
(763) 519-1228
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1914
MN
Other
Enumeration date
03/23/2006
Last updated
07/08/2007
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