Individual
AMY MALTRUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9120 SPRINGBROOK DR NW, COON RAPIDS, MN 55433-5845
(763) 231-2590
Mailing address
3333 UNIVERSITY AVE SE, MINNEAPOLIS, MN 55414-3325
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/22/2019
Last updated
06/03/2019
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