Organization
ADVANCE OCCUPATIONAL THERAPY, LLC
Active
Other names
Advance Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER ANN CORBIN MS (CEO/ OCCUPATIONAL THERAPIST)
(651) 784-7007
Entity
Organization
Contact information
Practice address
6776 LAKE DR, SUITE 220, LINO LAKES, MN 55014-1156
(651) 784-7007
(651) 784-7992
Mailing address
6776 LAKE DR, SUITE 220, LINO LAKES, MN 55014-1156
(651) 784-7007
(651) 784-7992
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
102776
MN
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
05/16/2007
Last updated
05/26/2015
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