Individual
KAYLA EGGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1119 OWENS ST N, STILLWATER, MN 55082-4316
(651) 439-7180
Mailing address
1270 MAPLE ST, BALDWIN, WI 54002-6301
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
201928
MN
Other
Enumeration date
05/01/2014
Last updated
05/01/2014
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