Individual
DEEPA MATHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2512 S 7TH ST, MINNEAPOLIS, MN 55454-1404
(612) 273-4277
Mailing address
55 14TH AVE SW, NEW BRIGHTON, MN 55112-3457
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
07/11/2017
Last updated
07/11/2017
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