Individual
MRS. DEBORAH HAMETZ MINTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
4330 CEDAR LAKE RD S, ST LOUIS PARK, MN 55416-3700
(952) 381-3434
(952) 377-1430
Mailing address
4321 W 25TH ST, ST LOUIS PARK, MN 55416-3840
(952) 381-3434
(952) 377-1430
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
102980
MN
Other
Enumeration date
06/13/2008
Last updated
06/13/2008
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