Individual
ANGELA NARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
4400 LANGE AVE NE, SAINT MICHAEL, MN 55376-9556
(763) 777-9445
Mailing address
1635 DUNKIRK LN N, PLYMOUTH, MN 55447-2838
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
202114
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202114
MINNESOTA DEPARTMENT OF HEALTH
MN
Enumeration date
11/21/2018
Last updated
11/21/2018
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