Individual
MRS. DORA ANN THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2106 2ND AVE S, MINNEAPOLIS, MN 55404-2606
(612) 874-1603
Mailing address
240 ARDENNES AVE W, SHAKOPEE, MN 55379-4645
(651) 307-4111
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
103905
MN
Other
Enumeration date
02/07/2023
Last updated
02/07/2023
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