Individual
BRENDA RENAE KONIETZKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
1900 CENTRACARE CIR STE 1000, SAINT CLOUD, MN 56303-5000
(320) 299-4976
(320) 229-5108
Mailing address
1900 CENTRACARE CIR STE 1000, SAINT CLOUD, MN 56303-5000
(320) 299-4976
(320) 229-5108
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
102726
MN
Other
Enumeration date
09/13/2017
Last updated
07/21/2022
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