Individual
JESSICA MIKKELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
500 HARVARD ST SE, MINNEAPOLIS, MN 55455-0363
(612) 273-8383
Mailing address
3625 LAWNDALE LN N UNIT 37, PLYMOUTH, MN 55446-2955
(920) 676-7914
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
106868
MN
Other
Enumeration date
06/13/2022
Last updated
04/08/2026
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