Individual
MRS. MEGAN KRISTINE WARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
800 E 28TH ST, MINNEAPOLIS, MN 55407-3723
(612) 863-4000
Mailing address
55 W 96TH ST APT 2A, BLOOMINGTON, MN 55420-4355
(712) 249-6186
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
103767
MN
Other
Enumeration date
10/01/2009
Last updated
10/01/2009
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