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Individual

MARISSA ETHEL ROSENBLUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
1785 LOGAN AVE S, MINNEAPOLIS, MN 55403-2844
(612) 354-3543
Mailing address
1785 LOGAN AVE S, MINNEAPOLIS, MN 55403-2844
(612) 354-3543

Taxonomy

Speciality
Code
Description
License number
State
225XM0800X
Mental Health Occupational Therapist
Primary
102199
MN

Other

Enumeration date
04/11/2013
Last updated
04/24/2013
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