Individual
PEGGY L NINOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3800 PARK NICOLLET BLVD, ST LOUIS PARK, MN 55416
(952) 993-3117
Mailing address
6465 WAYZATA BLVD, SUITE 315, ST LOUIS PARK, MN 55426
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
100456
MN
Other
Enumeration date
11/02/2006
Last updated
07/08/2007
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