Individual
JILL H OLSON MOSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
401 PHALEN BLVD, SAINT PAUL, MN 55130-5302
(651) 254-3200
(651) 254-7710
Mailing address
8170 33RD AVE S, MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
106874
MN
225XH1200X
Hand Occupational Therapist
106374
MN
225XH1200X
Hand Occupational Therapist
106874
MN
225XP0019X
Physical Rehabilitation Occupational Therapist
106874
MN
Other
Enumeration date
07/20/2022
Last updated
08/15/2022
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