Individual
MEGAN TWENGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20520 KEOKUK AVE # LL30, LAKEVILLE, MN 55044-6083
(952) 300-1461
Mailing address
20520 KEOKUK AVE # LL30, LAKEVILLE, MN 55044-6083
(952) 300-1461
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
105797
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000
DONT HAVE ONE
—
Enumeration date
01/31/2020
Last updated
01/31/2020
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