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Individual
TAMMY JOANNE MOOTHEDAN
Active
Individual
TAMMY JOANNE MOOTHEDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
999386
MN
Other
Enumeration date
10/08/2010
Last updated
11/01/2022
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