Jessica Haller
Ergonomics Occupational Therapy Assistant
4360 12th Ave E
Shakopee
, Minnesota 55379-1955
Jessica Haller
Ergonomics Occupational Therapy Assistant
4360 12th Ave E
Shakopee
, Minnesota 55379-1955
(651) 968-5300
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About
Features
Specialties
- Occupational Therapy Assistant
- Ergonomics
Languages spoken
- English
Location
First Address
- Jessica Haller
- 710 Commerce Dr Ste 200
- Woodbury, MN
- Zip : 55125-4925
- Phone : (651) 968-5300
Second Address
- Jessica Haller
- 4360 12th Ave E
- Shakopee, MN
- Zip : 55379-1955
- Phone : (651) 968-5300
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 224Z00000X | Occupational Therapy Assistant | 202095 | MN |
| Y | 2251E1200X | Ergonomics | 106657 | MN |
| Y | 225XE1200X | Ergonomics | 106657 | MN |
National Provider Identifier
| NPI | 1427402395 |
|---|---|
| Provider Name | Jessica Haller |
| First Address | Woodbury, MN 55125-4925 |
| Second Address | Shakopee, MN 55379-1955 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/04/2016 |
| Last Update Date | 05/10/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.