Individual
ANGELIQUE NICOLE RAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
12836 VERDIN ST NW, COON RAPIDS, MN 55448-1223
(763) 755-3833
Mailing address
12836 VERDIN ST NW, COON RAPIDS, MN 55448-1223
(763) 755-3833
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
200121
MN
Other
Enumeration date
03/11/2008
Last updated
03/11/2008
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