Individual
JORDYN M HIMLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
900 HILLIGOSS BLVD SE, FOSSTON, MN 56542-1542
(218) 435-1133
(218) 435-1134
Mailing address
900 HILLIGOSS BLVD SE, FOSSTON, MN 56542-1599
(218) 435-1133
(218) 435-1134
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
106341
MN
Other
Enumeration date
11/06/2020
Last updated
11/09/2020
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