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Individual

ERIC JOHN SORENSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSOT

Contact information

Practice address
800 E 28TH ST, MINNEAPOLIS, MN 55407-3723
(612) 863-4000
Mailing address
4147 BENJAMIN DR UNIT 283, WOODBURY, MN 55129-2253

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
105938
MN
225XN1300X
Neurorehabilitation Occupational Therapist
105938
MN

Other

Enumeration date
06/10/2019
Last updated
02/09/2020
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