Individual
MARY KLANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L, ATP
Contact information
Practice address
100 COBBLESTONE LN, BURNSVILLE, MN 55337-4578
(952) 898-5700
Mailing address
100 COBBLESTONE LN, BURNSVILLE, MN 55337-4578
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
100937
MN
Other
Enumeration date
10/07/2011
Last updated
10/07/2011
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