Individual
KELSEY THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3400 W 66TH ST STE 300, EDINA, MN 55435-2110
(952) 914-1903
Mailing address
3400 W 66TH ST, EDINA, MN 55435-2111
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
105231
MN
Other
Enumeration date
08/16/2019
Last updated
08/16/2019
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