Individual
MRS. ALICE FREDA DOLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
24932 E CEDAR LAKE DR, NEW PRAGUE, MN 56071-7810
(952) 758-4427
(952) 758-4427
Mailing address
24932 E CEDAR LAKE DR, NEW PRAGUE, MN 56071-7810
(952) 758-4427
(952) 758-4427
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
100015
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
53177DO
BC/BS
MN
Enumeration date
08/21/2006
Last updated
07/08/2007
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