Individual
JENNIFER LYNN TOURVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1025 MARSH ST, MANKATO, MN 56001-4752
(507) 386-2600
Mailing address
1025 MARSH ST, MANKATO, MN 56001-4752
(507) 386-2600
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
103673
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1376541243
—
MN
Enumeration date
01/19/2009
Last updated
02/03/2021
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