Individual
AMY EILEEN MODROW NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
8100 NORTHLAND DR, MINNEAPOLIS, MN 55431-4800
(952) 806-5459
Mailing address
8100 NORTHLAND DR, MINNEAPOLIS, MN 55431-4800
(952) 806-5459
(952) 806-5511
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
102159
MN
Other
Enumeration date
09/14/2006
Last updated
07/19/2011
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