Individual
ELIZABETH HERZOG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3333 UNIVERSITY AVE SE, MINNEAPOLIS, MN 55414
(612) 728-5349
Mailing address
3333 UNIVERSITY AVE SE, MINNEAPOLIS, MN 55414-3325
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
104926
MN
Other
Enumeration date
10/07/2015
Last updated
05/24/2018
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