Individual
NOUCHEE SON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2400 W 64TH ST, MINNEAPOLIS, MN 55423-1001
(612) 861-1688
Mailing address
2400 W 64TH ST, MINNEAPOLIS, MN 55423-1001
(612) 861-1688
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
105762
MN
Other
Enumeration date
09/13/2018
Last updated
09/12/2019
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