Wendy Aeling, OTR/L

Individual provider Active NPI Pediatric Occupational Therapist · Edina, MN

NPI 1104004332 · NPPES record last updated Feb 11, 2008

Key facts

NPI
1104004332
Entity type
Individual (NPI type 1)
Primary specialty
Pediatric Occupational Therapist 225XP0200X
License
101891 (MN)
Practice address
4010 W 65TH St
Suite 105
Edina, MN 55435-1721
Phone
(952) 285-2840
NPI assigned
Feb 11, 2008
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
101891MNMDPediatric Occupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 101891 MN Yes

Addresses

Primary practice location

4010 W 65TH St
Suite 105
Edina, MN 55435-1721

Mailing address

1826 Deerfield Rd
Waconia, MN 55387

Other providers in Edina, MN

All providers in Edina, MN · Pediatric Occupational Therapist in Minnesota

Sources for this page

Verify at the official NPI Registry.