Individual
JACK ANDREW STEELE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
515 DIVISION ST, EXCELSIOR, MN 55331-3233
(952) 474-5488
Mailing address
3341 47TH AVE S, MINNEAPOLIS, MN 55406-2344
(651) 272-9163
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
202722
MN
Other
Enumeration date
11/04/2022
Last updated
11/04/2022
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