SearchMinnesotaOccupational Therapy Assistant

Dana Bullock

NPI 1508273244 · on the registry since 2014 · sole proprietor

Practice

Address
7727 Portland Ave
Richfield, MN 55423
Phone
(612) 455-0304
Fax
(612) 861-0186
Organisation at this address
Richfield Opco, Llc
Villas At Richfield Llc
Extendicare Homes, Inc.
Fmg Portland Avenue South Minnesota Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
16

Registry record

Primary taxonomy
Occupational Therapy Assistant
224Z00000X
Licence states on file
MN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2014-07-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota