Individual
PAULA M STOMMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR L
Contact information
Practice address
9401 WINNETKA AVE N, BROOKLYN PARK, MN 55445-1618
(763) 255-3810
(763) 255-3910
Mailing address
9401 WINNETKA AVE. N, RELIABLE MEDICAL SUPPLY, BROOKLYN PARK, MN 55445
(763) 255-3810
(763) 255-3910
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
102195
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
081H2BR
BCBS MINNESOTA
—
01
—
6405939
MEDICA
—
01
—
HP56110
HEALTHPARTNERS
—
Enumeration date
06/09/2006
Last updated
07/15/2013
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