Individual
KIRSTEN KAY PROUTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
420 DELAWARE ST SE, MINNEAPOLIS, MN 55455-0341
(612) 273-3000
Mailing address
2099 VIBURNUM TRL, EAGAN, MN 55122-2354
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
102694
MN
Other
Enumeration date
10/16/2006
Last updated
07/08/2007
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