Individual
NICOLE KALEVIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15083 96TH ST NE, OTSEGO, MN 55330-7229
(763) 241-8398
Mailing address
15083 96TH ST NE, OTSEGO, MN 55330-7229
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
102392
MN
Other
Enumeration date
03/27/2008
Last updated
03/27/2008
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