Individual
MRS. KRISTIN SUZANNE SODERHOLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1107 HART BLVD, MONTICELLO, MN 55362-8538
(763) 295-6878
(763) 271-6860
Mailing address
1107 HART BLVD, MONTICELLO, MN 55362-8538
(763) 295-6878
(763) 271-6860
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
101509
MN
Other
Enumeration date
11/15/2011
Last updated
11/15/2011
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