Individual
MRS. MELISSA R LIVINGSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
6500 EXCELSIOR BLVD, ST LOUIS PARK, MN 55426-4702
(952) 993-5990
Mailing address
6465 WAYZATA BLVD, STE 210, ST LOUIS PARK, MN 55426-1728
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
TEMP 103706
MN
Other
Enumeration date
03/20/2009
Last updated
06/25/2010
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