Maryan Aidruas Abdirahman

Individual provider Active NPI Occupational Therapist · Saint Paul, MN

NPI 1780401877 · NPPES record last updated Aug 11, 2026

Key facts

NPI
1780401877
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
Practice address
787 Hampden Ave Unit 136
Saint Paul, MN 55114-2301
Phone
(701) 412-4355
NPI assigned
Sep 20, 2024
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X Yes
Personal Care Attendant 3747P1801X

Addresses

Primary practice location

787 Hampden Ave Unit 136
Saint Paul, MN 55114-2301

Mailing address

787 Hampden Ave Unit 136
Saint Paul, MN 55114-2301
Phone (701) 412-4355

Other providers in Saint Paul, MN

All providers in Saint Paul, MN · Occupational Therapist in Minnesota

Sources for this page

Verify at the official NPI Registry.