Individual
JONI BIDNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1705 SE BROADWAY AVE, ALBERT LEA, MN 56007-3265
(507) 377-5900
Mailing address
1705 SE BROADWAY AVE, ALBERT LEA, MN 56007-3265
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
200416
MN
224Z00000X
Occupational Therapy Assistant
—
MN
Other
Enumeration date
10/30/2017
Last updated
03/17/2018
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