Individual
ASTER GALLUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9817 GARDEN LN, ROGERS, MN 55374-9775
(601) 392-2097
Mailing address
4707 HIGHWAY 61 N # 150, WHITE BEAR LAKE, MN 55110-3227
(601) 392-2097
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
01/30/2024
Last updated
03/13/2025
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