Individual
SHAWNA GEISLER CHILDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3525 MONTEREY DR, ST LOUIS PARK, MN 55416-5275
(952) 993-6200
Mailing address
3525 MONTEREY DR, ST LOUIS PARK, MN 55416-5275
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
106965
MN
Other
Enumeration date
01/12/2023
Last updated
01/12/2023
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