Individual
JESSIE BILITZ POLZIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
825 1ST AVE NW, NEW BRIGHTON, MN 55112-6846
(651) 633-7875
Mailing address
15216 FANNING DR N, HUGO, MN 55038-6307
(651) 633-7875
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
103758
MN
Other
Enumeration date
07/22/2009
Last updated
07/22/2009
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