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Individual

MISS SAMANTHA JO PLAEHN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
1000 1ST DR NW, AUSTIN, MN 55912-2941
(507) 434-1270
Mailing address
1000 1ST DR NW, AUSTIN, MN 55912-2941
(507) 434-1270

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
105800
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
105800
STATE OF MN BOARD OF OCCUPATIONAL THERAPY
MN
01
408075
NBCOT
MN
Enumeration date
04/22/2020
Last updated
04/06/2022
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