Individual
LINDA TALLAKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.O.T.A/L
Contact information
Practice address
4002 LONDON RD # RE, DULUTH, MN 55804-2243
(218) 625-8295
Mailing address
5343 MORRIS THOMAS RD, HERMANTOWN, MN 55810-9714
(218) 340-4803
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
200509
MN
Other
Enumeration date
03/25/2016
Last updated
03/25/2016
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