Joelle Alstad

Individual provider Active NPI Occupational Therapist · Columbia Heights, MN

NPI 1992171920 · NPPES record last updated Aug 13, 2015

Key facts

NPI
1992171920
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
104965 (MN)
Practice address
4922 Tyler St NE
Columbia Heights, MN 55421-1927
Phone
(651) 238-8745
NPI assigned
Aug 13, 2015
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 104965 MN Yes

Addresses

Primary practice location

4922 Tyler St NE
Columbia Heights, MN 55421-1927

Mailing address

4922 Tyler St NE
Columbia Heights, MN 55421-1927
Phone (651) 238-8745

Other providers in Columbia Heights, MN

All providers in Columbia Heights, MN · Occupational Therapist in Minnesota

Sources for this page

Verify at the official NPI Registry.