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Individual

LAURA SOLVERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, OTR/L

Contact information

Practice address
14130 23RD AVE N, PLYMOUTH, MN 55447-4904
(763) 383-7666
(763) 383-6013
Mailing address
14130 23RD AVE N, PLYMOUTH, MN 55447-4904
(763) 383-7666
(763) 383-6013

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
105289
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
105289
MINNESOTA DEPARTMENT F HEALTH
MN
Enumeration date
08/07/2017
Last updated
07/21/2022
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