Individual
MS. KRISTINE ANN MICHAELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
5731 JAMESBARD RD, HERMANTOWN, MN 55811-3640
(218) 729-1656
Mailing address
5731 JAMESBARD RD, HERMANTOWN, MN 55811-3640
(218) 729-1656
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
200447
MN
Other
Enumeration date
05/08/2013
Last updated
05/08/2013
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