Individual
HEATHER RENEE ELDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
7767 ELM CREEK BLVD N STE 160, MAPLE GROVE, MN 55369-7078
(763) 201-8191
(763) 201-8192
Mailing address
9645 GROVE CIR N STE 200, MAPLE GROVE, MN 55369-2684
(763) 201-8191
(763) 201-8192
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
105532
MN
Other
Enumeration date
04/24/2018
Last updated
10/23/2021
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