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Individual

LYNN MARIE QUAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
7615 GOLDEN TRIANGLE DR STE A, EDEN PRAIRIE, MN 55344-3733
(952) 767-5914
Mailing address
10405 SHELTER GRV, EDEN PRAIRIE, MN 55347-4858

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
103915
MN

Other

Enumeration date
05/30/2019
Last updated
08/13/2021
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