Individual
LAURA EDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR//L
Contact information
Practice address
401 PHALEN BLVD, SAINT PAUL, MN 55130-5302
(651) 254-3200
Mailing address
8170 33RD AVE S, MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
074214
IA
225X00000X
Occupational Therapist
Primary
106673
MN
225X00000X
Occupational Therapist
116009
TX
225X00000X
Occupational Therapist
6059
AZ
225X00000X
Occupational Therapist
60644948
WA
Other
Enumeration date
06/06/2016
Last updated
01/23/2025
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