Individual
MRS. PAM GILLUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
500 S CHERRY ST, WACONIA, MN 55387-4515
(612) 619-8674
Mailing address
2857 162ND AVE NE, HAM LAKE, MN 55304-5757
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
103951
MN
Other
Enumeration date
09/07/2012
Last updated
09/07/2012
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