Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 105848 | MN |
N | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 105848 | MN |
NPI | 1154891695 |
---|---|
Provider Name | Hannah Serell Sterling |
First Address | Saint Paul, MN 55114-1095 |
Second Address | Minnetonka, MN 55345-5901 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/11/2018 |
Last Update Date | 25/03/2019 |