Individual
TARA THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7362 E POINT DOUGLAS RD S, COTTAGE GROVE, MN 55016-3025
(651) 246-1249
Mailing address
1311 CLEVELAND AVE N, SAINT PAUL, MN 55108-1828
Taxonomy
Speciality
Code
Description
License number
State
224ZE0001X
Environmental Modification Occupational Therapy Assistant
Primary
202600
MN
Other
Enumeration date
04/21/2026
Last updated
04/21/2026
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