Individual
ELIZABETH FOURNELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
721 COMMERCE DR, WOODBURY, MN 55125-9118
(612) 767-7222
Mailing address
2218 WILLIAM TELL RD, SAINT PAUL, MN 55119-5643
(651) 315-0132
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
106717
MN
Other
Enumeration date
12/13/2021
Last updated
12/13/2021
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