Individual
EMILY GRACE BURNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1670 LEGACY PKWY E, MAPLEWOOD, MN 55109-5469
(651) 756-1859
Mailing address
1198 121ST AVE, NEW RICHMOND, WI 54017-7158
(715) 220-3015
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
105520
MN
Other
Enumeration date
10/02/2017
Last updated
10/02/2017
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