Individual
KELSEY NOAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
516 DELAWARE ST SE, MMC106, MINNEAPOLIS, MN 55455-0356
(612) 273-8400
Mailing address
902 GRAND AVE, #103, SAINT PAUL, MN 55105-3081
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
105104
MN
Other
Enumeration date
04/19/2016
Last updated
04/19/2016
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