Individual
DELORES LOUISE SORENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
810 EXCELSIOR BLVD, EXCELSIOR, MN 55331
(612) 386-5595
Mailing address
24201 E CEDAR LAKE DR, NEW PRAGUE, MN 56071-8845
(952) 758-8852
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
201520
MN
Other
Enumeration date
12/03/2008
Last updated
12/03/2008
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