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Individual

PAMELA GAIDES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
435 PHALEN BLVD, SAINT PAUL, MN 55130-5302
(651) 254-3200
Mailing address
7541 9TH ST N, OAKDALE, MN 55128-6626
(651) 747-4338

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
101337
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
941418500
MN
Enumeration date
10/17/2006
Last updated
11/02/2017
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