Individual
MS. LYNN MARIE FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTA/L
Contact information
Practice address
2250 JEWEL LN, SOUTH ST PAUL, MN 55075-1722
(651) 230-2796
Mailing address
2250 JEWEL LN, SOUTH ST PAUL, MN 55075-1722
(651) 230-2796
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
200468
MN
Other
Enumeration date
10/13/2025
Last updated
10/13/2025
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