Individual
JESSICA WAHLBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT
Contact information
Practice address
1014 MAINSTREET, PACT INSTITUTE, HOPKINS, MN 55343-7534
(952) 224-0707
(952) 224-1612
Mailing address
1014 MAINSTREET, PACT INSTITUTE, HOPKINS, MN 55343-7534
(952) 224-0707
(952) 224-1612
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
104504
MN
Other
Enumeration date
01/22/2014
Last updated
01/22/2014
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