Individual
ALEXANDRIA WUORNOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
201 E NICOLLET BLVD, BURNSVILLE, MN 55337-5714
(952) 892-2898
Mailing address
201 E NICOLLET BLVD, BURNSVILLE, MN 55337-5714
(952) 892-2898
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
104417
MN
Other
Enumeration date
07/16/2014
Last updated
10/20/2020
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