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Individual

MR. ALEX JEFFREY WARREN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OTR/L

Contact information

Practice address
1714 SW 3RD AVE, GRAND RAPIDS, MN 55744-4116
(651) 207-9623
Mailing address
1714 SW 3RD AVE, GRAND RAPIDS, MN 55744-4116
(651) 207-9623

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
0004663
CO
225X00000X
Occupational Therapist
Primary
104944
MN
225X00000X
Occupational Therapist
10768
NC
225X00000X
Occupational Therapist
117304
TX
225X00000X
Occupational Therapist
60749556
WA

Other

Enumeration date
06/10/2017
Last updated
07/21/2022
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