Individual
STEPHANIE KRUGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20673 497TH AVE, MINNESOTA LAKE, MN 56068-6803
(507) 381-4965
Mailing address
20673 497TH AVE, MINNESOTA LAKE, MN 56068-6803
(507) 381-4965
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
104491
MN
Other
Enumeration date
06/25/2016
Last updated
06/25/2016
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