Individual
KIMBERLY TAFARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2319 7TH ST W, SAINT PAUL, MN 55116-2813
(651) 698-0793
Mailing address
15865 GRIFFON PATH, APPLE VALLEY, MN 55124-6662
(608) 630-7853
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
105782
MN
Other
Enumeration date
11/09/2018
Last updated
11/09/2018
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