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Individual

MRS. JESSICA J OGREN

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
O.T.R.

Contact information

Practice address
1970 CHRISTENSEN AVE, SAINT PAUL, MN 55118-5105
(651) 554-0926
Mailing address
10608 ALISON WAY, INVER GROVE HEIGHTS, MN 55077-5471
(651) 686-1094

Taxonomy

Speciality
Code
Description
License number
State
225XE1200X
Ergonomics Occupational Therapist
Primary
100806
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
100806
STATE LICENSE NUMBER
MN
Enumeration date
04/14/2006
Last updated
07/08/2007
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