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1790368793
MATTHEW A WALCZAK
BURNSVILLE, MN
NPI
1790368793
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: MN 106212)
Enumeration Date
2021-04-28
Last Update Date
2021-04-28
Business Address
MATTHEW A WALCZAK OTR/L
150 COBBLESTONE LN
BURNSVILLE, MN 55337-4578
Phone number: 952-892-2717
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Mailing Address
MATTHEW A WALCZAK OTR/L
2024 GRAND AVE S APT 1
MINNEAPOLIS, MN 55405-3490
Phone number: 608-658-5833
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