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Individual

DAVID RICHARD HEDGECOCK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OTR/L

Contact information

Practice address
800 E 28TH ST, SUITE 2704, MINNEAPOLIS, MN 55407-3723
(612) 863-1044
Mailing address
410 N 2ND ST, APT 435, MINNEAPOLIS, MN 55401-5310
(760) 519-7176

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
104913
MN

Other

Enumeration date
06/05/2015
Last updated
06/05/2015
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