Maria Denise Balsimo, OTR/L
Individual provider Active NPI Pediatric Occupational Therapist · Maplewood, MN
NPI 1104154814 · NPPES record last updated Nov 19, 2009
Key facts
- NPI
- 1104154814
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Occupational Therapist 225XP0200X
- License
- 103748 (MN)
- Practice address
- 2495 Maplewood Drive
Suite 313
Maplewood, MN 55109-1913 - Phone
- (651) 770-8884
- Fax
- (651) 770-8151
- NPI assigned
- Nov 19, 2009
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 103748 | MN | Yes |
Addresses
Primary practice location
2495 Maplewood Drive
Suite 313
Maplewood, MN 55109-1913
Mailing address
2495 Maplewood Drive
Suite 313
Maplewood, MN 55109-1913
Phone (651) 770-8884
Other providers in Maplewood, MN
- Caroline Bailey
- Jawad Ahmad Bajwa
- Ann Marie Baker
- Keith Bakke
- Balsam Home Care Inc
- Jessica R Baltz
- Michael H Bambenek
- Lynda K Bangtson
- Anna Rae Barlow
- Tiana M Barsness
All providers in Maplewood, MN · Pediatric Occupational Therapist in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 19, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.