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Individual

ELLEN JEAN MINOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
15160 FOLIAGE AVE STE 170, APPLE VALLEY, MN 55124-5916
(952) 683-1745
(952) 683-1746
Mailing address
7581 9TH ST N STE 100, OAKDALE, MN 55128-6635
(651) 748-4338

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
106642
MN
225X00000X
Occupational Therapist

Other

Enumeration date
08/02/2021
Last updated
08/25/2021
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