Individual
MICHELLE KATHLEEN ERVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
800 BOONE AVE N STE 135, GOLDEN VALLEY, MN 55427-4476
(763) 334-7994
(763) 267-6653
Mailing address
8525 CHANHASSEN HILLS DR S, CHANHASSEN, MN 55317-8108
(612) 247-7938
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
100238
MN
Other
Enumeration date
11/27/2019
Last updated
11/27/2019
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