Individual
JENNIFER ANN VAN ERT
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
2170 BOSSARD DR, ROSEVILLE, MN 55113-4607
(651) 983-1648
Mailing address
2170 BOSSARD DR, ROSEVILLE, MN 55113-4607
(651) 983-1648
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
102776
MN
Other
Enumeration date
03/24/2006
Last updated
07/08/2007
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