Individual
MRS. JENNIFER LESA KESICKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
6200 XERXES AVE S, EDINA, MN 55423-1033
(952) 925-8500
Mailing address
3824 THOMAS AVE S, MINNEAPOLIS, MN 55410-1232
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
101370
MN
Other
Enumeration date
07/08/2021
Last updated
07/08/2021
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