KATHERINE MARIE SUSTACEK

SHAKOPEE, MN
NPI1427102714
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: MN  101821)
Enumeration Date2007-01-23
Last Update Date2007-07-08
Business Address
-- KATHERINE MARIE SUSTACEK OTR
1515 SAINT FRANCIS AVE
SHAKOPEE, MN 55379-3387
Phone number: 952-403-2001
Mailing Address
-- KATHERINE MARIE SUSTACEK OTR
740 DEBBIE LN
CARVER, MN 55315-9306
Phone number: