Individual
MICHELLE SEBERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
540 16TH STREET, WINDOM, MN 56101
(507) 822-0945
Mailing address
540 16TH STREET, WINDOM, MN 56101
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
201423
MN
224Z00000X
Occupational Therapy Assistant
Primary
210961
TX
Other
Enumeration date
10/15/2010
Last updated
10/15/2010
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