Individual
AMY GRUNDTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9120 SPRINGBROOK DR NW, COON RAPIDS, MN 55433-5845
(612) 231-2590
Mailing address
9120 SPRINGBROOK DR NW, COON RAPIDS, MN 55433-5845
(612) 231-2590
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/20/2018
Last updated
07/20/2018
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