Individual
CAITLIN MARIE FORTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
201 E NICOLLET BLVD, BURNSVILLE, MN 55337-5714
(952) 892-2000
Mailing address
3016 IRVING AVE S APT B, MINNEAPOLIS, MN 55408-2668
(952) 261-7038
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
105829
MN
Other
Enumeration date
12/05/2018
Last updated
12/12/2018
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