Individual
MRS. JAMIE LYNN CLIFTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
800 EAST 28TH STREET, MINNEAPOLIS, MN 55407
(612) 863-1671
Mailing address
8141 WEST 133RD STREET, SAVAGE, MN 55378
(952) 220-1160
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
201505
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
243968
NBCOT
MN
Enumeration date
12/16/2009
Last updated
12/16/2009
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