Individual
ANDREA ANN JANIKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
15600 36TH AVE N STE 120, PLYMOUTH, MN 55446-3687
(763) 595-0812
(763) 595-0824
Mailing address
15600 36TH AVE N STE 120, PLYMOUTH, MN 55446-3687
(763) 595-0812
(763) 595-0824
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
106053
MN
Other
Enumeration date
01/27/2021
Last updated
02/08/2023
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