Individual
NICOLE LYNN PFEFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
7505 COUNTRY CLUB DR, GOLDEN VALLEY, MN 55427-4501
(763) 545-2016
Mailing address
463 ELM ST N, KIMBALL, MN 55353-4506
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
201395
MN
Other
Enumeration date
03/14/2008
Last updated
03/14/2008
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