Individual
SHAWN BLOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
16 TIMBERLINE DR, ESKO, MN 55733-9500
(218) 260-9043
Mailing address
16 TIMBERLINE DR, ESKO, MN 55733-9500
(218) 260-9043
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
104634
MN
Other
Enumeration date
04/18/2016
Last updated
04/18/2016
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