Andrew Michael Aeshliman, COTA
Individual provider Active NPI Occupational Therapy Assistant · St Louis Park, MN
NPI 1306609102 · NPPES record last updated Feb 5, 2024
Key facts
- NPI
- 1306609102
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 202354 (MN)
- Practice address
- 5320 W 23Rd St Ste 130
St Louis Park, MN 55416-1670 - Phone
- (952) 345-8770
- NPI assigned
- Feb 5, 2024
- Sex
- Male
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 202354 | MN | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 202354 | MN | Yes |
Addresses
Primary practice location
5320 W 23Rd St Ste 130
St Louis Park, MN 55416-1670
Mailing address
758 New Century Blvd S
Maplewood, MN 55119-5996
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All providers in St Louis Park, MN · Occupational Therapy Assistant in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 5, 2024. 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.