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Individual

AMY HERSHKOVITZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
7570 MARKET PLACE DR, EDEN PRAIRIE, MN 55344-3636
(952) 944-0241
Mailing address
9705 29TH AVE N, PLYMOUTH, MN 55441-3250

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
104927
MN

Other

Enumeration date
09/21/2015
Last updated
09/21/2015
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