Koelln, Stacy Nicole

Koelln, Stacy Nicole is an individual health care provider with primary practice located at 4415 W 36 1/2 St , St Louis Park MN 55416-4854. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Koelln, Stacy Nicole can be contacted via phone (952) 927-9717.

Contact Information

Primary practice address
4415 W 36 1/2 St St Louis Park MN 55416-4854
Phone: (952) 927-9717
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X

Profile Details

NPI number 1700057080
LBN Legal business name Koelln, Stacy Nicole
Credentials Occupational Therapist (OT)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2008
Last updated Mar 17th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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