Individual
GRACE KATHRYN LAURENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
3333 UNIVERSITY AVE SE, MINNEAPOLIS, MN 55414-3325
(612) 331-9413
Mailing address
1345 KENT ST, SAINT PAUL, MN 55117-4225
(952) 465-1608
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
106485
MN
Other
Enumeration date
05/17/2021
Last updated
05/17/2021
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