Individual
MRS. CAMILLA LYNN KOHUTKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1200 GRANT BLVD W, WABASHA, MN 55981-1042
(651) 565-5558
(651) 565-5627
Mailing address
1200 GRANT BLVD W, WABASHA, MN 55981-1042
(651) 565-5558
(651) 565-5627
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6099
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11004000
—
WI
Enumeration date
11/10/2008
Last updated
12/05/2008
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