Individual
MOLLY M WINGERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6490 EXCELSIOR BLVD, ST LOUIS PARK, MN 55426-4705
(952) 993-2007
Mailing address
6465 WAYZATA BLVD, STE 315, MINNEAPOLIS, MN 55426-1728
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
103002
MN
Other
Enumeration date
11/02/2006
Last updated
07/08/2007
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