Individual
MARY MCNAUGHTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7900 W. 28TH ST., ST. LOUIS PARK, MN 55426
(952) 920-8380
Mailing address
7900 W. 28TH ST., ST. LOUIS PARK, MN 55426
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
200025
MN
Other
Enumeration date
08/14/2012
Last updated
08/14/2012
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