Individual
GABRIEL DOUGLAS OREM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
10653 WAYSATA BLVD., SUITE 200, MINNETONKA, MN 55305
(952) 224-1919
Mailing address
1401 CIRCLE TERRACE BLVD NE APT 2, COLUMBIA HEIGHTS, MN 55421-2645
(815) 222-5831
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
105883
MN
Other
Enumeration date
03/14/2019
Last updated
03/14/2019
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