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Individual

ELENE EVYENIA LINDBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, OTR/L

Contact information

Practice address
5710 BAKER RD, MINNETONKA, MN 55345-5901
(952) 767-4200
(952) 767-4211
Mailing address
5710 BAKER RD., MINNETONKA, MN 55345
(952) 767-4200
(952) 767-4211

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
104914
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
115000
MN
Enumeration date
07/24/2015
Last updated
09/23/2022
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