Individual
ADELYN RUTH KOPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
500 OSBORNE RD NE SUITE 365, FRIDLEY, MN 55432
(763) 236-2150
Mailing address
10137 3RD ST NE, BLAINE, MN 55434-4500
(651) 249-4705
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
105256
MN
Other
Enumeration date
07/11/2019
Last updated
07/11/2019
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