Individual
MADELINE MARY PROSSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3800 PARK NICOLLET BLVD, ST LOUIS PARK, MN 55416-2527
(952) 993-1000
Mailing address
3800 PARK NICOLLET BLVD, ST LOUIS PARK, MN 55416-2527
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
107450
MN
225X00000X
Occupational Therapist
Primary
—
MN
Other
Enumeration date
08/05/2024
Last updated
02/12/2026
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