Individual
AMANDA JEAN BEINHORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2168 GRANITE DR, SHAKOPEE, MN 55379-2977
(612) 916-2442
Mailing address
2168 GRANITE DR, SHAKOPEE, MN 55379-2977
(612) 916-2442
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
202394
MN
Other
Enumeration date
04/18/2023
Last updated
04/18/2023
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