Organization
ABBOTT NORTHWESTERN HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE BROWN (OTL)
(952) 200-6668
Entity
Organization
Contact information
Practice address
5315 HIGHPOINTE DR, BLOOMINGTON, MN 55437-1962
(952) 200-6668
Mailing address
5315 HIGHPOINTE DRIVE, BLOOMINGTON, MN 55437
(952) 200-6668
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
100046
MN
Other
Enumeration date
03/20/2007
Last updated
06/13/2008
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