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Individual

KRISTIN MARIE BINNICKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
700 5TH ST S, HOPKINS, MN 55343-7764
(952) 993-6087
Mailing address
7608 CAMINO ABIERTO, CARLSBAD, CA 92009-6947
(480) 794-0955

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
11594
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11594
OCCUPATIONAL THERAPIST LICENSE NUMBER
CA
Enumeration date
01/16/2013
Last updated
07/21/2022
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