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1871961532
SAMANTHA THAYER
COON RAPIDS, MN
NPI
1871961532
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: MN 104958)
Enumeration Date
2015-09-10
Last Update Date
2016-02-09
Business Address
-- SAMANTHA THAYER OTR/L
320 COON RAPIDS BLVD NW STE 100
COON RAPIDS, MN 55433-5640
Phone number: 952-908-2580
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Mailing Address
-- SAMANTHA THAYER OTR/L
2443 3RD AVE S APT C13
MINNEAPOLIS, MN 55404-3519
Phone number: 651-260-1299
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