Individual
JENNIFER HAEDRICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1420 E COLLEGE DR STE 704, MARSHALL, MN 56258-2065
(507) 532-3343
(507) 523-3343
Mailing address
193 THOMPSON AVE W, WEST ST PAUL, MN 55118-2152
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
103824
MN
Other
Enumeration date
01/13/2010
Last updated
01/13/2010
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