Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251H1200X | Hand | 100697 | MN |
N | 225X00000X | Occupational Therapist | 100697 | MN |
NPI | 1427076694 |
---|---|
Provider Name | Mary Beth Schiffer |
First Address | Golden Valley, MN 55422-4841 |
Second Address | Edina, MN 55435-1706 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/07/2006 |
Last Update Date | 08/07/2019 |