Individual
ADDY JANE LOUIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
5800 SAINT CROIX AVE N, GOLDEN VALLEY, MN 55422-4446
(612) 246-3592
Mailing address
10133 SHERRILL BLVD STE 200, KNOXVILLE, TN 37932-3347
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
202469
MN
Other
Enumeration date
06/20/2025
Last updated
06/20/2025
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