Individual
ELIZABETH HERDZINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
6500 EXCELSIOR BLVD, ST LOUIS PARK, MN 55426-4702
(952) 993-5900
Mailing address
11684 84TH AVE N, MAPLE GROVE, MN 55369-3040
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
105755
MN
Other
Enumeration date
02/04/2021
Last updated
04/29/2024
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