Individual
PATRICIA S MAETZOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2220
MN
225X00000X
Occupational Therapist
01566
IA
225X00000X
Occupational Therapist
103328
MN
Other
Enumeration date
07/22/2006
Last updated
02/26/2014
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