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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SOURIYA MOUA

Active Sole Proprietor

SOURIYA MOUA is a Occupational Therapist healthcare provider located in ANOKA, Minnesota. NPI 1710754049 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · ANOKA, MN

Registration Details

NPI Number
1710754049
Provider Type
Individual
Gender
Male
NPI Issued
Dec 6, 2023 (2.654392211171 yrs)
Last Updated
Dec 22, 2023
License
A1907 (MN)
Sole Proprietor
Yes

Practice Information

Address
7637 OLD VIKING BLVD NW
ANOKA, MN, 553039714
Browse MN providers · Browse ZIP 55303
Phone
5075304501
Fax
7635591195
Primary Specialty
Occupational Therapist
225200000X

Other Occupational Therapist Providers in ANOKA, MN

Name Credential NPI
SHERRY WACHTLER 1366961997
CATHERINE SUE BAKOS-HULEGAARD PTA 1215526603
SARAH J CROWE PTA, CLT 1295422426
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.