Individual
MOLLY E CERVENKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
201 1ST ST NE, BUFFALO, MN 55313-1550
(612) 209-1257
Mailing address
3511 VIRGINIA AVE N, NEW HOPE, MN 55427-1968
(612) 209-1257
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
104267
MN
Other
Enumeration date
05/06/2019
Last updated
02/19/2020
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