Individual
DAVID CHESTER TOLLEFSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
705 17TH ST N, VIRGINIA, MN 55792
(218) 550-5046
Mailing address
705 17TH ST N, VIRGINIA, MN 55792-2176
(218) 550-5046
(320) 217-2873
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
101012
MN
Other
Enumeration date
05/18/2010
Last updated
08/09/2019
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