Individual
MRS. THERESA MARIE BABIRACKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
901 9TH ST N, SUITE 100, VIRGINIA, MN 55792-2325
(218) 749-9405
(218) 749-9407
Mailing address
901 9TH ST N, SUITE 100, VIRGINIA, MN 55792-2325
(218) 749-9405
(218) 749-9407
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
200594
MN
Other
Enumeration date
04/01/2008
Last updated
04/01/2008
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