Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand |
NPI | 1033188222 |
---|---|
Provider Name | Ms. Nancy J Callinan |
First Address | St Louis Park, MN 55426-1728 |
Second Address | Bloomington, MN 55431-4800 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/03/2006 |
Last Update Date | 17/02/2021 |