Individual
LINDA ADDICOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8339 IVY PL NW, RICE, MN 56367-9680
(763) 689-5385
Mailing address
8339 IVY PL NW, RICE, MN 56367-9680
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
100003
MN
Other
Enumeration date
01/22/2008
Last updated
01/22/2008
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