Individual
RICHELE EHARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2270 SOUTH PKWY, VICTORIA, MN 55386-4538
(952) 223-2506
Mailing address
2270 SOUTH PKWY, VICTORIA, MN 55386-4538
(952) 223-2506
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
104963
MN
Other
Enumeration date
08/24/2015
Last updated
08/24/2015
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