Carissa Kusilek, OTR

NPI #1003066614 in Stillwater, Minnesota

Provider Information

NPI Number: 1003066614
Entity Type: Individual
Name: Carissa Kusilek, OTR
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: OTR
Enumeration Date: Sep 19, 2008
Last Updated: Jun 30, 2009

Practice Location

Address: 1460 CURVE CREST BLVD W
City: Stillwater
State: Minnesota
ZIP Code: 55082-6070
Phone: (651) 439-8283

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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