Individual
ASHTON ELIZABETH EKDOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, OTR/L
Contact information
Practice address
721 COMMERCE DRIVE, WOODBURY, MN 55125
(651) 424-4000
Mailing address
721 COMMERCE DRIVE, WOODBURY, MN 55125
(651) 424-4000
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
105666
MN
Other
Enumeration date
06/11/2018
Last updated
01/22/2019
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