Individual
MRS. KELLY JO MCCUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1542 GOLF COURSE ROAD, SUITE 204, GRAND RAPIDS, MN 55744
(218) 999-7000
Mailing address
400 E THIRD ST MSS 6AV-1, DULUTH, MN 55805-1951
(218) 786-3146
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
102554
MN
Other
Enumeration date
03/27/2008
Last updated
11/10/2019
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