Individual
MRS. KARA JO SPEIDEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSOTR/L
Contact information
Practice address
3915 GOLDEN VALLEY RD, GOLDEN VALLEY, MN 55422-4249
(763) 520-0312
Mailing address
6400 SYCAMORE LN N APT 309, MAPLE GROVE, MN 55369-6377
(701) 870-1775
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
103864
MN
Other
Enumeration date
08/07/2009
Last updated
08/19/2011
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