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Individual

KELLY SUE CHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, OTR/L

Contact information

Practice address
421 WALNUT ST, FARMINGTON, MN 55024-1344
(612) 252-2980
(651) 460-3830
Mailing address
421 WALNUT ST, FARMINGTON, MN 55024-1344
(612) 252-2980
(651) 460-3830

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
MN

Other

Enumeration date
03/02/2026
Last updated
03/02/2026
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