Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0200X | Occupational Therapist - Pediatrics | 104894 | MN |
NPI | 1013397041 |
---|---|
Provider Name | Julie Stricker |
First Address | Maplewood, MN 55109-2203 |
Second Address | Maplewood, MN 55109-2203 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/06/2015 |
Last Update Date | 04/06/2015 |