Nicole Annmarie Kotaska

NPI #1700154689 in Saint Francis, Minnesota

Provider Information

NPI Number: 1700154689
Entity Type: Individual
Name: Nicole Annmarie Kotaska
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Mechanotherapist
Enumeration Date: Dec 7, 2011
Last Updated: Dec 7, 2011

Practice Location

Address: 3220 BRIDGE ST NW
Address 2: #111
City: Saint Francis
State: Minnesota
ZIP Code: 55070-8632
Phone: (612) 240-6601

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Mechanotherapist	172M00000X	Primary

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