Individual
CARISSA MAE KNOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
303 CATLIN ST, BUFFALO, MN 55313-1947
(763) 682-1212
Mailing address
188 CALDER AVE SE, BUFFALO, MN 55313-4817
(763) 807-2957
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
TL5756
MN
Other
Enumeration date
01/15/2020
Last updated
01/15/2020
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