Individual
MR. DANIEL JAMES KUCERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.T.
Contact information
Practice address
120 LABREE AVE SOUTH, THIEF RIVER FALLS, MN 56701
(218) 681-4240
Mailing address
120 LABREE AVE SOUTH, THIEF RIVER FALLS, MN 56701
(218) 681-4240
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
101127
MN
Other
Enumeration date
04/09/2014
Last updated
04/09/2014
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