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Individual

MRS. AMY LYNN OPATZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
4801 VETERANS DR, SAINT CLOUD, MN 56303-2015
(320) 252-1670
Mailing address
221 6TH ST, ALBANY, MN 56307-8326
(320) 845-7365

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
101825
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
101825
STATE LICENSE
MN
Enumeration date
09/15/2006
Last updated
07/08/2007
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