Individual
EMILY MARIT MAKITALO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
427 W TRAVELERS TRAIL, BURNSVILLE, MN 55337
(612) 861-1688
Mailing address
427 W TRAVELERS TRAIL, BURNSVILLE, MN 55337
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
106233
MN
Other
Enumeration date
12/09/2020
Last updated
06/01/2022
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