Individual
MRS. LYDA AZELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2250 NW 26TH ST, OWATONNA, MN 55060-5503
(612) 863-6029
Mailing address
2250 NW 26TH ST, OWATONNA, MN 55060-5503
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
103739
MN
Other
Enumeration date
07/31/2009
Last updated
04/02/2020
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