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Individual

PAULA BJORALT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
39 N 25TH ST E, SUPERIOR, WI 54880-5269
(763) 689-5385
(763) 689-5558
Mailing address
2302 JEFFERSON ST, DULUTH, MN 55812-2211

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
102999
MN
225X00000X
Occupational Therapist
Primary
1553
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
111M2BJ
BLUE CROSS BLUE SHIELD
MN
05
41810700
WI
01
477564478000
COMPCARE BLUE
WI
01
6403351
MEDICA
MN
01
HP45702
HEALTH PARTNERS
MN
Enumeration date
09/22/2006
Last updated
07/09/2007
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