Most Relevant Information
Provider Data
| NPI Number: | 1003066614 |
| Provider Name: | CARISSA KUSILEK OTR |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | 103691 |
Most Important Dates
| Enumeration Date: | 09/19/2008 |
| Last Updated: | 06/30/2009 |
Provider Practice Location
1460 CURVE CREST BLVD W
STILLWATER
MN
550826070
Practice Location Phone/Fax
| Phone: | 6514398283 |
| Fax: | 6514390576 |
Provider Mailing Location
1460 CURVE CREST BLVD W
STILLWATER
MN
550826070
Provider Mailing Phone/Fax
| Phone: | 6514398283 |
| Fax: | 6514390576 |