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NPI Code Detail

MEDICARE: MRS. ELIZABETH ANN-HOUSER HOUSER-YOUNG OTR/L

MEDICARE:  MRS. ELIZABETH ANN-HOUSER HOUSER-YOUNG  OTR/L
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225XP0200XPediatric Occupational Therapist102322MN

General Provider Information

NPI Number : 1609106624
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ELIZABETH ANN-HOUSER HOUSER-YOUNG OTR/L
Provider Business Mailing Address
First Line : 1250 W BROADWAY AVE
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55411-2533
Country : US
Telephone Number : 612-596-6163
Fax Number :
Provider Business Practice Location Address
First Line : 2025 EAST RIVER PKWY
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55414-3604
Country : US
Telephone Number : 612-596-6163
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/14/2010
Last Update Date : 12/04/2025

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Directions to “ MRS. ELIZABETH ANN-HOUSER HOUSER-YOUNG OTR/L” Practice Location

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