Individual
MARY EASTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3815 W BROADWAY AVE, ROBBINSDALE, MN 55422-2207
(888) 873-4221
Mailing address
3815 W BROADWAY AVE, ROBBINSDALE, MN 55422-2207
(888) 873-4221
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
101158
MN
Other
Enumeration date
08/26/2014
Last updated
08/26/2014
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