Individual
MARTHA DANES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
450 SYNDICATE ST N, SAINT PAUL, MN 55104-4107
(763) 689-5385
Mailing address
13332 DANNER PATH, ROSEMOUNT, MN 55068-4372
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
102631
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
018M1DA
BLUE CROSS BLUE SHIELD
MN
01
—
6402266
MEDICA
MN
01
—
HP45722
HEALTH PARTNERS
MN
Enumeration date
09/29/2006
Last updated
07/09/2007
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