JANA LYNN FOSSUM

ANDOVER, MN
NPI1679664296
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: MN  102082)
Enumeration Date2006-09-27
Last Update Date2010-04-27
Business Address
Mrs. JANA LYNN FOSSUM OTR L
1891 STATION PKWY NW
ANDOVER, MN 55304-4259
Phone number: 763-755-4275
Mailing Address
Mrs. JANA LYNN FOSSUM OTR L
17740 71ST AVE N
MAPLE GROVE, MN 55311-4012
Phone number: 612-386-7131
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