Individual
AMANDA LYNN FLEMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
3700 FOSS RD, MINNEAPOLIS, MN 55421-4512
(612) 913-5317
Mailing address
3700 FOSS RD, MINNEAPOLIS, MN 55421-4512
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
201923
MN
Other
Enumeration date
09/22/2015
Last updated
09/22/2015
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