Individual
THERESE HANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
2334 UNIVERSITY AVE W, SUITE 170, SAINT PAUL, MN 55114-1858
(651) 645-8083
Mailing address
7581 9TH ST N, SUITE 100, OAKDALE, MN 55128-6626
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
102606
MN
Other
Enumeration date
11/07/2006
Last updated
09/20/2007
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