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1659731222
CONNOR ROACH
BLOOMINGTON, MN
NPI
1659731222
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: MN 105089)
Enumeration Date
2016-02-25
Last Update Date
2016-02-25
Business Address
CONNOR ROACH MS OTR/L
8100 NORTHLAND DR
BLOOMINGTON, MN 55431-4800
Phone number: 952-831-8742
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Mailing Address
CONNOR ROACH MS OTR/L
19700 HILLSIDE ST
EXCELSIOR, MN 55331-8768
Phone number: 952-456-2420
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