Individual
MADELINE ROSE SPRINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
19230 LARKSPUR AVE N, MARINE ON SAINT CROIX, MN 55047-9696
(651) 472-6597
Mailing address
19230 LARKSPUR AVE N, MARINE ON SAINT CROIX, MN 55047-9696
(651) 472-6597
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
106241
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
106241
MINNESOTA BOARD OF OCCUPATIONAL THERAPY
MN
Enumeration date
05/02/2020
Last updated
05/02/2020
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