Individual
ELIZABETH GRACE LOCNIKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR, ATC
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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