Individual
DEANNA DYRUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
15590 90TH ST NE, OTSEGO, MN 55330-9452
(763) 755-4275
Mailing address
17310 88TH AVE N, MAPLE GROVE, MN 55311-1411
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
103267
MN
Other
Enumeration date
07/19/2006
Last updated
03/17/2018
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