Individual
NATALIE RENE WILMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
490 HIGHWAY 96 W STE 300, SHOREVIEW, MN 55126-1961
(651) 451-3016
(651) 481-7040
Mailing address
209 10TH AVE N, SOUTH SAINT PAUL, MN 55075-1923
(651) 387-1464
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1013563
MN
Other
Enumeration date
06/04/2014
Last updated
06/04/2014
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