Individual
BO SEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
909 FULTON ST SE, MINNEAPOLIS, MN 55455-4800
(612) 273-8383
Mailing address
909 FULTON ST SE, MINNEAPOLIS, MN 55455-4800
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
106864
MN
Other
Enumeration date
06/13/2022
Last updated
10/10/2022
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