Individual
ELIZABETH KOCONSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
825 1ST AVE NW, NEW BRIGHTON, MN 55112-6846
(651) 633-7875
Mailing address
12111 XYLITE ST NE UNIT B, BLAINE, MN 55449-5244
(785) 551-9141
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
02/23/2023
Last updated
02/23/2023
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