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 ST, WINDOM, MN 56101-1230
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
201423
MN
224Z00000X
Occupational Therapy Assistant
Primary
210961
TX
Other
Enumeration date
10/15/2010
Last updated
08/04/2026
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