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Miranda Massey, OTR/L

Occupational Therapist in Plymouth, MN. Individual provider (NPI-1).

NPI number1417643164
StatusActive
Last updated in NPPESDec 6, 2023

Details

NPI
1417643164
Entity type
Individual (NPI-1)
Name
Miranda Massey
Credential
OTR/L
Sex
Female
Sole proprietor
No
Enumeration date
Apr 14, 2023
Certification date
Apr 14, 2023
Last updated
Dec 6, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225X00000X Occupational Therapist107151MNYes
225XP0200X Occupational Therapist, Pediatrics107151MN

Practice location

14130 23rd Ave N
Plymouth, MN 55447

Phone 763-383-7666 · Fax 763-383-6013

Mailing address

14130 23rd Ave N
Plymouth, MN 55447

Phone 763-383-7666 · Fax 763-383-6013

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All 36 Occupational Therapist providers in Plymouth · All 1,953 providers in Plymouth

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