Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | 101027 | MN |
NPI | 1073612420 |
---|---|
Provider Name | Joanne Irene Sypnieski |
First Address | Monticello, MN 55362-3247 |
Second Address | Buffalo, MN 55313-2035 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/09/2006 |
Last Update Date | 14/01/2021 |