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Individual

MR. MARK WALTER HANK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OTR

Contact information

Practice address
3915 GOLDEN VALLEY RD, MINNEAPOLIS, MN 55422-4249
(763) 520-0473
Mailing address
PO BOX 922, BURNSVILLE, MN 55337-0922

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
101815
MN

Other

Enumeration date
10/19/2009
Last updated
10/19/2009
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