Individual
BONNITA HELEN GRUELL MEINGAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
1705 COPE AVE E, MAPLEWOOD, MN 55109-2639
(651) 773-0354
(651) 773-0371
Mailing address
1705 COPE AVE E, MAPLEWOOD, MN 55109-2639
(651) 773-0354
(651) 773-0371
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
103439
MN
Other
Enumeration date
08/20/2007
Last updated
08/20/2007
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