Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225X00000X | Occupational Therapist | 100670 | MN |
N | 225XN1300X | Occupational Therapist - Neurorehabilitation | 100670 | MN |
NPI | 1285839258 |
---|---|
Provider Name | Ms. Jean Lavonne Finley |
First Address | Little Canada, MN 55117-1205 |
Second Address | Little Canada, MN 55117-1205 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/06/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
8G213HE | BCBS (01) | MN |
8G214F1 | BCBS (01) | MN |