Individual
JESSICA JANE ROMERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
3130 GRIMES AVE N, ROBBINSDALE, MN 55422-3217
(763) 450-2737
Mailing address
3130 GRIMES AVE N, ROBBINSDALE, MN 55422-3217
(763) 450-2737
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
201610
MN
Other
Enumeration date
12/19/2011
Last updated
12/19/2011
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