Individual
ELIZABETH JO KLOCKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5860 BAKER RD, MINNETONKA, MN 55345-5903
(612) 778-8443
Mailing address
74855 160TH AVE, HAYFIELD, MN 55940-8441
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
107229
MN
Other
Enumeration date
05/21/2018
Last updated
08/07/2023
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