Individual
KATHERINE MARIE KALLIOMAA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
500 PARK ST E, ANNANDALE, MN 55302-3060
(320) 274-3737
Mailing address
1875 PINE CONE RD S, 325, ST CLOUD, MN 56303
(763) 443-8120
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A2453
MN
Other
Enumeration date
08/06/2020
Last updated
08/06/2020
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