Individual
LAURA OGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
500 CARLSON PKWY, MINNETONKA, MN 55305-5304
(877) 407-3422
Mailing address
527 MEMORIAL DR, POCATELLO, ID 83201-4063
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2081
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT-2081
OCCUPATIONAL THERAPIST
ID
Enumeration date
04/15/2020
Last updated
12/30/2024
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