| Doctor Name: | ROBERT EDWARD ROED |
| NPI Number: | 1114104544 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MOTR/L |
| License Number: | 103162 |
| Business Practice Address: | 115 6th St Ne Suite E Cass Lake, MN - 566333428 |
| Business Phone Number: | 2183344511 |
| Business Fax Number: | 2183354541 |
| Mailing Address: | 115 6th St Ne, Suite E CASS LAKE |
| State: | MN |
| Postal Code: | 566333428 |
| Phone Number: | 2183344511 |
| Fax Number: | 2183354541 |
| NPI Enumeration Date: | 01/29/2008 |
| NPI Last Update Date: | 01/29/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225XH1200X |
| License Number: | 103162 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Occupational Therapist |
| Taxonomy Specialization: | Hand |
| Taxonomy Definition: | |