Individual
KRISTINA EMPANGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1661 PARK RIDGE DR, CHASKA, MN 55318-2841
(952) 428-1265
(952) 428-1266
Mailing address
1661 PARK RIDGE DR, CHASKA, MN 55318-2841
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
104619
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
83547100
—
MN
Enumeration date
03/12/2014
Last updated
03/12/2014
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