Individual
ROBERTA BEA WOLLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
900 MAIN ST W, CANNON FALLS, MN 55009-1852
(507) 263-3600
Mailing address
13186 GARNET AVE, APPLE VALLEY, MN 55124-6108
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
225X00000X
Occupational Therapist
1009251
MN
Other
Enumeration date
05/25/2007
Last updated
01/16/2025
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