Individual
MS. KELLY MARGARET FLANAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
800 EAST 28TH STREET, MINNEAPOLIS, MN 55407
(612) 863-7631
Mailing address
15480 OMEGA TRAIL SOUTHEAST, PRIOR LAKE, MN 55372
(952) 447-1172
Taxonomy
Speciality
Code
Description
License number
State
225XN1300X
Neurorehabilitation Occupational Therapist
Primary
100403
MN
Other
Enumeration date
03/26/2007
Last updated
07/08/2007
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