NPI 1609656743
Tanya C Ussery, OTA
Practice location
- Address
- 3401 E Medicine Lake Blvd, Plymouth, MN 55441-2307
- Phone
- (763) 559-3123
- Mailing address
- 813 Queens Ln, Anoka, MN 55303-2840
Registered specialties
Occupational Therapy Assistant
Primary
Registry record
- NPI
- 1609656743
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 5 Oct 2023
- Record last updated
- 5 Oct 2023
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.