Individual
MADELINE JEPPESEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
85 PLEASANT DR, HASTINGS, MN 55033-1648
(651) 404-1002
Mailing address
2261 BOXWOOD AVE E, MAPLEWOOD, MN 55119-5622
(651) 303-6693
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
104941
MN
Other
Enumeration date
01/21/2016
Last updated
04/08/2020
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