Individual
NATALYA NEKTALOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
414 CLARK CT, DULUTH, MN 55811-5002
(917) 804-3940
Mailing address
414 CLARK CT, DULUTH, MN 55811-5002
(917) 804-3940
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
104229
MN
Other
Enumeration date
06/24/2014
Last updated
06/24/2014
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