Individual
ZABIDA BACCHUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
4002 LONDON RD, DULUTH, MN 55804-2243
(218) 625-7100
Mailing address
6309 92ND AVE N, BROOKLYN PARK, MN 55445-1635
(763) 898-6034
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
202265
MN
Other
Enumeration date
05/27/2019
Last updated
05/27/2019
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