Individual
ALEXANDER THOMAS KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTD
Contact information
Practice address
5855 CHESHIRE PKWY, PLYMOUTH, MN 55446-4005
(763) 744-9400
Mailing address
2730 AUTUMN DR, ASBURY, IA 52002-2407
(563) 845-8467
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
106937
MN
Other
Enumeration date
09/07/2022
Last updated
09/07/2022
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