Individual
MARY DANIELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1696 7TH ST NW, BUFFALO, MN 55313-5050
(612) 597-2975
(763) 682-1668
Mailing address
1696 7TH ST NW, BUFFALO, MN 55313-5050
(612) 597-2975
(763) 682-1668
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
102187
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
383602900
—
MN
Enumeration date
02/15/2008
Last updated
02/13/2014
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