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Individual

DEBBIE M KALISH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MOTR

Contact information

Practice address
1515 SAINT FRANCIS AVE, SUITE 140, SHAKOPEE, MN 55379-3387
(952) 403-2001
Mailing address
17080 JUDICIAL RD, LAKEVILLE, MN 55044-7627
(612) 386-8033

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
101025
MN

Other

Enumeration date
01/24/2007
Last updated
07/08/2007
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