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Individual

ELIZABETH GRACE LOCNIKAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, OTR, ATC

Contact information

Practice address
1901 CONNECTICUT AVENUE SOUTH, SARTELL, MN 56377
(320) 259-4141
(320) 257-7811
Mailing address
1901 CONNECTICUT AVENUE SOUTH, SARTELL, MN 56377
(320) 259-4141
(320) 257-7811

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
2136
MN
2255A2300X
Athletic Trainer
24-00476
KS
225X00000X
Occupational Therapist
Primary
103668
MN

Other

Enumeration date
11/14/2008
Last updated
05/20/2020
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