Individual
MRS. CLARISSA L MIREAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, OTR/L, TPS
Contact information
Practice address
1700 UNIVERSITY AVE W FL 7, SAINT PAUL, MN 55104-3727
(651) 232-7000
Mailing address
1700 UNIVERSITY AVE W FL 7, SAINT PAUL, MN 55104-3727
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
104064
MN
225XM0800X
Mental Health Occupational Therapist
104064
MN
Other
Enumeration date
04/03/2017
Last updated
05/07/2018
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