Individual
DR. TRACI LYNN KRUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTD, MA, OTR/L
Contact information
Practice address
11437 KENYON CT NE, BLAINE, MN 55449-5483
(651) 343-4198
Mailing address
11437 KENYON CT NE, BLAINE, MN 55449-5483
(651) 343-4198
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
103808
MN
Other
Enumeration date
07/01/2020
Last updated
07/01/2020
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