Individual
JESSICA HORMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA OTR/L
Contact information
Practice address
10300 HENNEPIN TOWN RD, EDEN PRAIRIE, MN 55347-5100
(651) 270-3920
Mailing address
775 COUNTY ROAD C W, ROSEVILLE, MN 55113-2155
(651) 270-3920
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
102276
MN
Other
Enumeration date
09/06/2023
Last updated
09/06/2023
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