Individual
HEATHER CHRISTINE HUNSTAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1910 5TH ST NE, MINNEAPOLIS, MN 55418-4404
(651) 341-4055
Mailing address
1910 5TH ST NE, MINNEAPOLIS, MN 55418-4404
(651) 341-4055
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
104878
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
104878
STATE LICENSE
MN
01
—
340788
CERTIFICATION NUMBER
—
Enumeration date
03/31/2015
Last updated
03/31/2015
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