Individual
MISS MARGARET HELEN HOUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1532 15TH ST NW, NEW BRIGHTON, MN 55112-5565
(651) 226-7844
Mailing address
1532 15TH ST NW, NEW BRIGHTON, MN 55112-5565
(651) 226-7844
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
201560
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
201560
MINNESOTA STATE LICENSURE
MN
Enumeration date
07/22/2009
Last updated
07/22/2009
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