Individual
DOMINIQUE SANDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3333 UNIVERSITY AVE SE, MINNEAPOLIS, MN 55414-3325
(612) 728-5377
Mailing address
3333 UNIVERSITY AVE SE, MINNEAPOLIS, MN 55414-3325
(612) 728-5378
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
105903
MN
Other
Enumeration date
03/05/2019
Last updated
03/05/2019
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