Individual
ANNA MA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 VETERANS DR, MINNEAPOLIS, MN 55417-2309
(612) 725-2000
Mailing address
1711 W 143RD ST APT 435, BURNSVILLE, MN 55306-7992
(952) 221-3672
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
105385
MN
Other
Enumeration date
05/18/2019
Last updated
05/18/2019
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