Individual
DR. SAM ADAM MAKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
825 1ST AVE NW, NEW BRIGHTON, MN 55112-6846
(651) 633-7875
Mailing address
23885 ASPEN DR, ROGERS, MN 55374-8757
(763) 267-8266
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
107023
MN
Other
Enumeration date
12/14/2022
Last updated
12/14/2022
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