Individual
ALLISON LEIGH WIENKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
7250 FRANCE AVE S, SUITE 305, EDINA, MN 55435-4305
(952) 285-2840
Mailing address
2034 ROYALE DR, EAGAN, MN 55122-3390
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
104400
MN
Other
Enumeration date
07/18/2013
Last updated
12/30/2013
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