Individual
TANYA TANNER DUWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3815 W BROADWAY AVE, ROBBINSDALE, MN 55422-2207
(612) 332-4262
Mailing address
15183 UPLANDER ST NW, ANDOVER, MN 55304-2659
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
MN
Other
Enumeration date
01/23/2017
Last updated
01/23/2017
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