Organization
EBN PEDIATRIC OCCUPATIONAL THERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN BEUSSMAN OTR/L (OWNER, OCCUPATIONAL THERAPIST)
(612) 327-9324
Entity
Organization
Contact information
Practice address
1072 FILLMORE CIR NE, FRIDLEY, MN 55432-5731
(612) 327-9324
Mailing address
1072 FILLMORE CIR NE, FRIDLEY, MN 55432-5731
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
103249
MN
235Z00000X
Speech-Language Pathologist
—
MN
Other
Enumeration date
12/16/2013
Last updated
12/18/2013
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