Individual
GLORIA MAACHUMA SIPAKATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
200 1ST ST SW, ROCHESTER, MN 55905
(507) 284-2511
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
105672
MN
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
12/26/2017
Last updated
06/22/2018
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