Amy Kathleen Anderson, OTR/L
Individual provider Active NPI Occupational Therapist · Minneapolis, MN
NPI 1700978723 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1700978723
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 100221 (MN)
- Practice address
- 1 Veterans Drive
Minneapolis, MN 55417-2309 - Phone
- (612) 467-4528
- NPI assigned
- Sep 28, 2006
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 100221 | MN | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 100221 | MN | Yes |
Addresses
Primary practice location
1 Veterans Drive
Minneapolis, MN 55417-2309
Mailing address
1 Veterans Drive
Minneapolis, MN 55417-2309
Phone (612) 467-4528
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 916679 | Other | NBCOT |
Other providers in Minneapolis, MN
- Allison Lyn Anderson
- Alyce Anderson
- Amanda Anderson
- Amy Anderson
- Amy Anderson
- Arissa Anderson
- Ashley Anderson
- Ashley M Anderson
- Barbara Anderson
- Barbara Marie Anderson
All providers in Minneapolis, 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 8, 2007. 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.