Individual
ANDERS WALLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MOT, OTR/L
Contact information
Practice address
2270 FORD PKWY STE 200, SAINT PAUL, MN 55116-3412
(651) 696-5010
Mailing address
2270 FORD PKWY STE 200, SAINT PAUL, MN 55116-3412
(651) 696-5010
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
106414
MN
Other
Enumeration date
01/19/2021
Last updated
06/03/2025
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