Individual
GLADYS BERI NYUGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
7171 17TH ST N, OAKDALE, MN 55128-5405
(651) 757-6441
Mailing address
7171 17TH ST N, OAKDALE, MN 55128-5405
(651) 757-6441
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
201803
MN
Other
Enumeration date
05/02/2013
Last updated
05/02/2013
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