Individual
ELIZABETH ASTURIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS OTR/L
Contact information
Practice address
15600 36TH AVE N STE 120, PLYMOUTH, MN 55446-3687
(763) 595-0812
(763) 595-0824
Mailing address
15600 36TH AVE N STE 120, PLYMOUTH, MN 55446-3687
(763) 595-0812
(763) 595-0824
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
101510
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101510
MN DEPT OF HEALTH OT LICENSE
MN
Enumeration date
03/07/2022
Last updated
03/07/2022
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