Individual
CHARISSE MARGARET COURTEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2495 MAPLEWOOD DR, MAPLEWOOD, MN 55109-1984
(651) 770-8884
(651) 771-8151
Mailing address
2495 MAPLEWOOD DR, MAPLEWOOD, MN 55109-1984
(651) 770-8884
(651) 771-8151
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
102200
MN
225X00000X
Occupational Therapist
1038701
MD
Other
Enumeration date
12/30/2015
Last updated
12/30/2015
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