Individual
DEREK KENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5724 20TH AVE S, MINNEAPOLIS, MN 55417-2619
(161) 272-5200
Mailing address
5724 20TH AVE S, MINNEAPOLIS, MN 55417-2619
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
104663
MN
Other
Enumeration date
09/30/2014
Last updated
09/30/2014
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