Individual
LINDA ANN KIECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
722 NW 7TH ST, BRAINERD, MN 56401-2912
(218) 855-1115
Mailing address
722 NW 7TH ST, BRAINERD, MN 56401-2912
(218) 855-1115
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
100770
MN
Other
Enumeration date
03/30/2023
Last updated
03/30/2023
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