Individual
JACQUELINE ANN PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
201 E NICOLLET BLVD, BURNSVILLE, MN 55337-5714
(952) 892-2000
Mailing address
3152 36TH AVE S, MINNEAPOLIS, MN 55406-2127
(630) 386-7048
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
106452
MN
Other
Enumeration date
07/29/2021
Last updated
07/29/2021
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