Individual
NITIN SIMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L, CLT
Contact information
Practice address
800 E 28TH ST, MINNEAPOLIS, MN 55407-3723
(612) 863-6015
(612) 863-2758
Mailing address
16268 DUSKWOOD TRL, LAKEVILLE, MN 55044-2418
(469) 450-5491
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
104936
MN
Other
Enumeration date
07/12/2023
Last updated
07/12/2023
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