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Individual

KATIE KINZEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
14101 FAIRVIEW DR STE 300, BURNSVILLE, MN 55337-2537
(952) 892-2650
Mailing address
627 NE EVANS ST, MCMINNVILLE, OR 97128-3923
(218) 230-5043

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
105994
MN

Other

Enumeration date
02/09/2012
Last updated
10/25/2022
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