Individual
MRS. NICOLE MARIE KINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
3400 NEBRASKA DR, BISMARCK, ND 58503
(701) 989-7410
Mailing address
200 LEWIS AVE S, WATERTOWN, MN 55388-4545
(952) 955-2242
(952) 955-2010
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1262
ND
Other
Enumeration date
03/28/2013
Last updated
07/30/2018
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