Individual
MRS. LAURA KALLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1406 6TH AVE N, SAINT CLOUD, MN 56303
(320) 251-2700
Mailing address
1406 6TH AVE N, SAINT CLOUD, MN 56303-1901
(763) 261-7000
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10302
MN
Other
Enumeration date
10/26/2016
Last updated
07/26/2018
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