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Contact Information

LAURA KALLOCK, PT, DPT
1406 6TH AVE N
SAINT CLOUD, MN56303
 Phone: 320-251-2700
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for LAURA KALLOCK · (Female)

NPI # 1386196244
Status Active
Credentials PT, DPT
Entity Individual
Enumeration date 10/26/2016
Last updated 07/26/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 10302
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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