Individual
LAURA JEAN DICKASON-SOPETH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
8758 EGAN DR, SAVAGE, MN 55378-2561
(952) 473-9888
Mailing address
17420 IXONIA CT, LAKEVILLE, MN 55044-8741
(612) 280-3514
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
100665
MN
Other
Enumeration date
03/03/2025
Last updated
03/03/2025
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