Individual
AUTUMN RONGLIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
900 2ND AVE STE 704, MADISON, MN 56256-1006
(132) 069-8716
Mailing address
900 2ND AVE, MADISON, MN 56256-1006
(132) 069-8716
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
103972
MN
Other
Enumeration date
04/28/2011
Last updated
07/18/2023
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