Individual
SCOTT GARY YOUNGSTRAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
80 MINNESOTA AVE, LITTLE CANADA, MN 55117-1781
(651) 481-8040
Mailing address
3838 GLACIER CT, MINNETRISTA, MN 55375-1349
(952) 446-9019
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
101765
MN
Other
Enumeration date
04/12/2007
Last updated
07/08/2007
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