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Individual

KAREN LYNN GARRISON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
14301 EWING AVE S, BURNSVILLE, MN 55306-5515
(952) 746-5350
(952) 746-6131
Mailing address
2409 HAYES CT, BURNSVILLE, MN 55337-1062
(952) 707-6988

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
087887
NBCOT
01
A
MN TITLE REGISTRATION MDH
MN
Enumeration date
04/12/2007
Last updated
07/09/2007
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