Individual
MELODY OAKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10653 WAYZATA BLVD STE 200, MINNETONKA, MN 55305-1543
(952) 224-1919
Mailing address
10653 WAYZATA BLVD STE 200, MINNETONKA, MN 55305-1543
(952) 224-1919
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
105498
MN
Other
Enumeration date
11/10/2021
Last updated
11/10/2021
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