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Individual

MR. KORY JOHN BADERTSCHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OTR, ATP

Contact information

Practice address
1 VETERANS DR, MINNEAPOLIS, MN 55417-2309
(612) 467-3485
Mailing address
1 VETERANS DR, MINNEAPOLIS, MN 55417-2309
(612) 467-3485

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
970732

Other

Enumeration date
08/31/2006
Last updated
07/08/2007
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