Individual
KAILEY JO VAN EPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
30 S BEHL ST, APPLETON, MN 56208-1616
(320) 289-8503
(320) 289-1797
Mailing address
500 CROSS ST, BIG STONE CITY, SD 57216-8237
(605) 541-1140
(605) 541-0109
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
106604
MN
Other
Enumeration date
07/23/2021
Last updated
07/23/2021
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