Individual
EMILY CHENOWETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
16500 92ND AVE N, MAPLE GROVE, MN 55311-5444
(763) 343-7896
Mailing address
2819 33RD ST S, FARGO, ND 58103-7818
(573) 803-9258
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
106728
MN
Other
Enumeration date
01/23/2023
Last updated
01/23/2023
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