Gina Maria Frattalone Bigelbach, MAOTR/L
Individual provider Active NPI Occupational Therapist · Andover, MN
NPI 1124452206 · NPPES record last updated Aug 26, 2013
Key facts
- NPI
- 1124452206
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 104270 (MN)
- Practice address
- 1891 Station Pkwy NW
Andover, MN 55304-4259 - Phone
- (763) 755-4275
- Fax
- (763) 755-4261
- NPI assigned
- Aug 26, 2013
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 104270 | MN | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Speech & Therapy Services, LLC | Occupational Therapist | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 104270 | MN | Yes |
Addresses
Primary practice location
1891 Station Pkwy NW
Andover, MN 55304-4259
Mailing address
1891 Station Pkwy NW
Andover, MN 55304-4259
Other providers in Andover, MN
- Daphne Paige Berg
- Sara Berg
- Suzanne Berg
- Grace Bestler
- Sydney Faye Bever
- Divina Fama Bikeri
- Lisa Ann Bishop
- Kallie J Blaine
- Emelia Blatz
- Jessica Blum
All providers in Andover, MN · 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 Aug 26, 2013. 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.