Individual
SHER VUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
14271 EAGLE ST NW, ANDOVER, MN 55304-7636
(763) 221-3662
Mailing address
14271 EAGLE ST NW, ANDOVER, MN 55304-7636
(763) 221-3662
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
107455
MN
Other
Enumeration date
04/16/2024
Last updated
04/16/2024
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