Individual
MS. ERIN TASHA BEUSSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRIL
Contact information
Practice address
900 W 94TH STREET, BLOOMINGTON, MN 55420
(952) 885-0418
(952) 885-0173
Mailing address
1105 DUCKWOOD TRAILS, #310, EAGAN, MN 55123
(651) 454-6942
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
103249
MN
Other
Enumeration date
09/27/2006
Last updated
07/08/2007
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