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Individual

DANIELLE BOARDMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
101 S HILL ST, LA CRESCENT, MN 55947-1389
(507) 895-4445
Mailing address
44916 CATTAIL DR, DAKOTA, MN 55925-4053
(608) 792-4329

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
202743
MN

Other

Enumeration date
09/18/2023
Last updated
09/18/2023
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