Bridget Ann Forbrook, OTR/L
Individual provider Active NPI Occupational Therapist · South St Paul, MN
NPI 1124460845 · NPPES record last updated Jul 23, 2013
Key facts
- NPI
- 1124460845
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 101613 (MN)
- Practice address
- 247 Park St W
South St Paul, MN 55075-3023 - Phone
- (763) 458-3837
- NPI assigned
- Jul 23, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 101613 | MN | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 101613 | MN | Yes |
Addresses
Primary practice location
247 Park St W
South St Paul, MN 55075-3023
Mailing address
247 Park St W
South St Paul, MN 55075-3023
Phone (763) 458-3837
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- Erin Nichole Hedstrom
All providers in South St Paul, 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 Jul 23, 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.