Individual
DEBORAH MARIE WAKEEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
5129 WASHBURN AVE S, MINNEAPOLIS, MN 55410-2253
(760) 417-0827
Mailing address
5129 WASHBURN AVE S, MINNEAPOLIS, MN 55410-2253
(760) 417-0827
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-2025-0003
NM
Other
Enumeration date
02/19/2025
Last updated
02/19/2025
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