Individual
MISS SERENA ELIZABETH HUTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
550 OSBORNE RD NE, FRIDLEY, MN 55432-2718
(763) 236-5000
Mailing address
10002 JEFFERSON WAY, FORT WAYNE, IN 46825-2184
(208) 850-8239
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
107124
MN
Other
Enumeration date
04/05/2023
Last updated
04/05/2023
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