Individual
STEFANIE CLARKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2795 PILOT KNOB RD STE 100, EAGAN, MN 55121
(651) 994-9644
Mailing address
2795 PILOT KNOB RD STE 100, EAGAN, MN 55121-1930
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
105075
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1992169619
—
MN
Enumeration date
04/08/2016
Last updated
08/14/2018
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