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Individual

KATHERINE BANOVETZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
18334 JOPLIN ST NW, ELK RIVER, MN 55330-1773
(612) 270-4335
Mailing address
6125 ARCTIC WAY, EDINA, MN 55436-1844

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
106777
MN

Other

Enumeration date
03/08/2022
Last updated
03/08/2022
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