Individual
MAYA RENEE DELPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
6545 FLYING CLOUD DR STE 201, EDEN PRAIRIE, MN 55344-3356
(952) 224-1919
(612) 999-1943
Mailing address
6545 FLYING CLOUD DR STE 201, EDEN PRAIRIE, MN 55344-3356
(952) 224-1919
(612) 999-1943
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
105837
MN
Other
Enumeration date
09/12/2019
Last updated
03/18/2026
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