Individual
JODY J HAHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1614 GOLF COURSE RD, GRAND RAPIDS, MN 55744-8681
(218) 999-7776
Mailing address
7551 9TH ST N STE 100, OAKDALE, MN 55128-6628
(651) 748-4338
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
102264
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
716192100
—
MN
Enumeration date
10/11/2006
Last updated
04/09/2018
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