Individual
MS. PEGGY PAUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
22 27TH AVE SE, MINNEAPOLIS, MN 55414-3102
(612) 332-4262
Mailing address
22 27TH AVE SE, MINNEAPOLIS, MN 55414-3102
(612) 332-4262
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
22
MN
Other
Enumeration date
03/04/2008
Last updated
03/04/2008
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