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Individual

MICHELLE KAY NAGENGAST

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
1406 6TH AVE N, SAINT CLOUD, MN 56303-1901
(320) 250-2700
(320) 656-7115
Mailing address
1406 6TH AVE N, SAINT CLOUD, MN 56303-1901
(320) 250-2700
(320) 656-7115

Taxonomy

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

Other

Enumeration date
04/30/2018
Last updated
04/30/2018
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