Individual
JENNIFER RAFFERTY BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
3390 ANNAPOLIS LN N STE B, PLYMOUTH, MN 55447-5379
(763) 898-6480
Mailing address
7714 ZANZIBAR LN N, MAPLE GROVE, MN 55311-3706
(763) 898-6480
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
103670
MN
Other
Enumeration date
08/08/2018
Last updated
08/08/2018
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