Individual
JONAH KRATOCHVIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
323 S MINNESOTA ST, CROOKSTON, MN 56716-1601
(218) 281-9200
Mailing address
323 S MINNESOTA ST, CROOKSTON, MN 56716-1601
(218) 281-9200
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
106633
MN
Other
Enumeration date
09/15/2021
Last updated
09/15/2021
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