Individual
BECKY MARIE EDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
4984 381ST LN, NORTH BRANCH, MN 55056-6075
(651) 237-0387
Mailing address
4984 381ST LN, NORTH BRANCH, MN 55056-6075
(651) 237-0387
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
101560
MN
Other
Enumeration date
08/29/2011
Last updated
08/29/2011
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