Organization
BODY AND SOUL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JAMIE LYNN WYTTENBACH OTR (OWNER)
(952) 830-4615
Entity
Organization
Contact information
Practice address
7200 FRANCE AVE S, SUITE 227, EDINA, MN 55435-4300
(952) 830-4615
Mailing address
7200 FRANCE AVE S, SUITE 227, EDINA, MN 55435-4300
(952) 830-4615
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
102921
MN
Other
Enumeration date
05/16/2007
Last updated
08/22/2020
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