Individual
NICOLE RAE STRAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA OTR,L
Contact information
Practice address
141 OAK AVE, BIG LAKE, MN 55309-8964
(763) 234-9250
Mailing address
141 OAK AVE, BIG LAKE, MN 55309-8964
(763) 234-9250
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
103155
MN
Other
Enumeration date
07/19/2011
Last updated
09/19/2013
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