Individual
JACOB OSCAR GAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
909 FULTON ST SE, MINNEAPOLIS, MN 55455-4800
(612) 672-7422
(612) 676-8992
Mailing address
909 FULTON ST SE, MINNEAPOLIS, MN 55455-4800
(126) 672-7422
(612) 676-8992
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
105817
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
105817
MINNESOTA BOARD OF OCCUPATIONAL THERAPY LICENSE
MN
Enumeration date
11/01/2018
Last updated
11/07/2018
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