NPI 1578733697

Peggy Paul, COTA

Practitioner Physical Disabilities Residential Treatment Facility Minneapolis, MN

Practice location

Address: 22 27th Ave SE, Minneapolis, MN 55414-3102
Phone: (612) 332-4262

Registered specialties

Physical Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320700000X Licence 22 (MN)

Other Residential Treatment Facility, Physical Disabilities providers in Minnesota →

Registry record

NPI: 1578733697
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 Mar 2008
Record last updated: 4 Mar 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.