Individual
JANE ELISABETH AAFEDT MCCOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTRL
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
103187
MN
225XP0200X
Pediatric Occupational Therapist
Primary
947
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27405
BCBS ND PROVIDER NUMBER
ND
05
—
55004
—
ND
Enumeration date
01/11/2007
Last updated
11/19/2012
Update your record
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