Individual
RHONDA DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
6500 EXCELSIOR BLVD, ST LOUIS PARK, MN 55426-4702
(952) 993-9900
Mailing address
54 PALOMINO LN, LINO LAKES, MN 55014-2916
(651) 414-9159
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
104162
MN
Other
Enumeration date
11/10/2011
Last updated
11/10/2011
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