Individual
ANNA HULTGREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA OTR/L
Contact information
Practice address
2400 W 64TH ST, RICHFIELD, MN 55423-1001
(612) 861-1688
Mailing address
2400 W 64TH ST, RICHFIELD, MN 55423-1001
(612) 861-1688
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
104584
MN
Other
Enumeration date
01/10/2014
Last updated
04/03/2015
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