Individual
ELLEN JUDITH MINARIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
9680 TAMARACK RD STE 130, WOODBURY, MN 55125-2623
(612) 273-1172
Mailing address
600 HIGHLAND AVE, MADISON, WI 53792-2424
(608) 263-8060
(608) 262-7679
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
105579
MN
225X00000X
Occupational Therapist
6151-26
WI
Other
Enumeration date
04/17/2018
Last updated
03/17/2021
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