Individual
ANGELA KEZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
435 PHALEN BLVD, SAINT PAUL, MN 55130-5302
(651) 254-3200
Mailing address
814 RIVER LN, ANOKA, MN 55303-2807
(763) 567-0219
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
105115
MN
Other
Enumeration date
08/11/2016
Last updated
07/21/2022
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