Individual
DR. CLARE T KOEZLY ESCOBAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR
Contact information
Practice address
5868 BAKER RD, MINNETONKA, MN 55345-5903
(952) 767-4200
(952) 767-4211
Mailing address
5868 BAKER RD, MINNETONKA, MN 55345-5903
(952) 767-4200
(952) 767-4211
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
105463
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
105463
OCCUPATIONAL THERAPIST LICENSE
MN
01
—
387141
NBCOT
—
Enumeration date
08/23/2017
Last updated
11/14/2022
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