Koyama, Michelle Louise

Koyama, Michelle Louise is an individual health care provider with primary practice located at 1800 2Nd St Ne , Minneapolis MN 55418-4306. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Koyama, Michelle Louise can be contacted via phone (612) 789-1236.

Contact Information

Primary practice address
1800 2Nd St Ne Minneapolis MN 55418-4306
Phone: (612) 789-1236
Fax: (612) 706-5555
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 104344 Minnesota

Profile Details

NPI number 1750629374
LBN Legal business name Koyama, Michelle Louise
Credentials M.A. OTR/L
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2013
Last updated Jan 17th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750629374 NPPES
Minnesota Other 104344 STATE LICENSE

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