Individual
ANDREA NYBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, OTR/L, CLT
Contact information
Practice address
207 18TH AVE E, ALEXANDRIA, MN 56308-2511
(320) 762-6079
Mailing address
4355 DONWAY DR NE, ALEXANDRIA, MN 56308-5095
(320) 808-6644
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
103185
MN
Other
Enumeration date
02/12/2024
Last updated
02/12/2024
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