Individual
EKATERINA NAZARENKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DOT
Contact information
Practice address
1250 W BROADWAY AVE, MINNEAPOLIS, MN 55411-2533
(352) 226-1583
Mailing address
1250 W BROADWAY AVE, MINNEAPOLIS, MN 55411-2533
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
108022
MN
Other
Enumeration date
03/21/2026
Last updated
03/26/2026
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