Individual
TERESA ANN HAGGERY LUECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1501 XERXES AVE N, MINNEAPOLIS, MN 55411-2851
(612) 721-5551
(612) 721-3290
Mailing address
1501 XERXES AVE N, MINNEAPOLIS, MN 55411-2851
(763) 521-3477
(763) 521-3893
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
100028
MN
Other
Enumeration date
01/14/2010
Last updated
09/25/2012
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