Individual
KARI ELIZABETH ANDERSON WADERICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2448 18TH AVE S, MINNEAPOLIS, MN 55404-4006
(612) 721-2761
Mailing address
3121 BLOOMINGTON AVE, MINNEAPOLIS, MN 55407-1717
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
105494
MN
Other
Enumeration date
10/19/2017
Last updated
10/19/2017
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