Individual
EMENET SIME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6545 FLYING CLOUD DR STE 201, EDEN PRAIRIE, MN 55344-3356
(612) 364-1901
Mailing address
6545 FLYING CLOUD DR STE 201, EDEN PRAIRIE, MN 55344-3356
(612) 364-1901
(763) 710-8154
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
349017
MN
Other
Enumeration date
04/09/2024
Last updated
04/09/2024
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