Individual
SHANIA CAROL WOLLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
502 MAIN ST S, KARLSTAD, MN 56732-4008
(218) 686-2032
Mailing address
502 MAIN ST S, KARLSTAD, MN 56732-4008
(218) 686-2032
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4676
CA
Other
Enumeration date
07/06/2020
Last updated
07/06/2020
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