Individual
HAILEY LYNN UPHOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
2344 HELEN ST N, NORTH SAINT PAUL, MN 55109-2942
(651) 773-5988
Mailing address
1509 SOUTHCROSS DR W, BURNSVILLE, MN 55306-6945
(952) 491-9810
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
04/12/2019
Last updated
04/12/2019
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