Stephanie L Blossomgame, OTR/L

NPI #1730935834 in Rogers, Minnesota

Provider Information

NPI Number
1730935834
Entity Type
Individual
Name
Stephanie L Blossomgame, OTR/L
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Occupational Therapist
Credential
OTR/L
Enumeration Date
Apr 29, 2024
Last Updated
Dec 30, 2024

Practice Location

Address
20600 S. DIAMOND LAKE RD
City
Rogers
ZIP Code
55374
Phone
(763) 428-4315

Specialties & Taxonomy Codes

Specialty
Occupational Therapist

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