Individual
CHRISTINE ANN GISLASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1705 SE BROADWAY AVE, ALBERT LEA, MN 56007-3265
(507) 668-2902
(507) 668-2912
Mailing address
1705 SE BROADWAY AVE, ALBERT LEA, MN 56007-3265
(507) 668-2902
(507) 668-2912
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
201161
MN
Other
Enumeration date
10/30/2017
Last updated
01/25/2021
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