Individual
NICOLE EKEGREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
550 SNELLING AVE S STE 104, SAINT PAUL, MN 55116-1578
(651) 698-1729
Mailing address
9982 199TH ST W, LAKEVILLE, MN 55044-8957
(952) 237-1021
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
106295
MN
Other
Enumeration date
02/22/2021
Last updated
02/22/2021
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