Individual
MARCHELL MOXA VANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD OTRL
Contact information
Practice address
14050 NICOLLET AVE STE 201, BURNSVILLE, MN 55337-5738
(952) 993-6800
Mailing address
3201 64TH AVE N, BROOKLYN CENTER, MN 55429-2236
(763) 566-3244
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
103116
MN
Other
Enumeration date
01/15/2007
Last updated
04/22/2019
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