Individual
ANDREA MAUREEN GREDVIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
8540 QUADAY AVE NE, OTSEGO, MN 55330-6522
(763) 441-0298
Mailing address
4200 DAHLBERG DR STE 300, GOLDEN VALLEY, MN 55422-4841
(952) 512-5600
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
107083
MN
Other
Enumeration date
06/01/2023
Last updated
06/01/2023
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