Individual
JAIME DICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1001 HIGHWAY 95 E STE 190, CAMBRIDGE, MN 55008-1769
(763) 689-5385
Mailing address
2482 540TH ST, BRAHAM, MN 55006-3645
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
102533
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
54D660C
BLUE CROSS BLUE SHIELD
MN
01
—
6404186
MEDICA
MN
01
—
HP45728
HEALTH PARTNERS
MN
Enumeration date
09/26/2006
Last updated
07/09/2007
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