Linda Addicott

Individual provider Active NPI Occupational Therapist · Rice, MN

NPI 1205013265 · NPPES record last updated Jan 22, 2008

Key facts

NPI
1205013265
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
100003 (MN)
Practice address
8339 Ivy PL NW
Rice, MN 56367-9680
Phone
(763) 689-5385
NPI assigned
Jan 22, 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
100003MNMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 100003 MN Yes

Addresses

Primary practice location

8339 Ivy PL NW
Rice, MN 56367-9680

Mailing address

8339 Ivy PL NW
Rice, MN 56367-9680

Other providers in Rice, MN

All providers in Rice, MN · Occupational Therapist in Minnesota

Sources for this page

Verify at the official NPI Registry.