Individual
SUE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1175 NININGER RD, HASTINGS, MN 55033-1056
(651) 404-1002
Mailing address
1175 NININGER RD, HASTINGS, MN 55033-1056
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
102367
MN
Other
Enumeration date
01/20/2017
Last updated
10/14/2021
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