NICOLE ANNMARIE KOTASKA

SAINT FRANCIS, MN
NPI1700154689
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy172M00000X Mechanotherapist
(Licence: MN  301)
Enumeration Date2011-12-07
Last Update Date2011-12-07
Business Address
-- NICOLE ANNMARIE KOTASKA
3220 BRIDGE ST NW #111
SAINT FRANCIS, MN 55070-8632
Phone number: 612-240-6601
Mailing Address
-- NICOLE ANNMARIE KOTASKA
4429 231ST CT NW
SAINT FRANCIS, MN 55070-8788
Phone number: 612-240-6601