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1497847966
ELLEN PLACE
ST LOUIS PARK, MN
NPI
1497847966
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Former Name
ELLEN JOHNSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: MN 100915)
Enumeration Date
2006-09-29
Last Update Date
2021-03-11
Business Address
ELLEN PLACE OTR
3931 LOUISIANA AVE S
ST LOUIS PARK, MN 55426-5000
Phone number: 952-993-3230
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Mailing Address
ELLEN PLACE OTR
8170 33RD AVE S # MS 21110Q
BLOOMINGTON, MN 55425-4516
Phone number:
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