Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | 105573 | MN |
NPI | 1124517677 |
---|---|
Provider Name | Joshua Allan Albarado |
First Address | Woodbury, MN 55125-2522 |
Second Address | Woodbury, MN 55125-2522 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/05/2018 |
Last Update Date | 09/05/2018 |