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Individual

AMANDA BURRILL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
3525 MONTEREY DR, ST LOUIS PARK, MN 55416-5275
(952) 993-3044
Mailing address
3525 MONTEREY DR, ST LOUIS PARK, MN 55416-5275
(952) 993-3044

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
103930
MN

Other

Enumeration date
11/29/2010
Last updated
03/30/2016
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