Roberta Peery, OTR

Individual provider Active NPI Occupational Therapist · Annandale, MN

NPI 1912099474 · NPPES record last updated Jul 9, 2007

Key facts

NPI
1912099474
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
101689 (MN)
Practice address
500 Park St E
Annandale, MN 55302-3060
Phone
(763) 689-5385
NPI assigned
Sep 29, 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

LicenseStateTypeSpecialty
101689MNMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 101689 MN Yes

Addresses

Primary practice location

500 Park St E
Annandale, MN 55302-3060

Mailing address

13431 80TH St NW
Annandale, MN 55302-3419

Other identifiers

IdentifierTypeStateIssuer
6400671OtherMNMEDICA
21D43PEOtherMNBCBS
HP45868OtherMNHEALTH PARTNERS

Other names

  • Roberta Franta Former name

Other providers in Annandale, MN

All providers in Annandale, MN · Occupational Therapist in Minnesota

Sources for this page

Verify at the official NPI Registry.