Doctor Name: | KRISTIN MARIE ANDERSON |
NPI Number: | 1598860231 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | OTR/L, CHT |
License Number: | 100691 |
Business Practice Address: | 8540 Quaday Ave Ne Otsego, MN - 553306522 |
Business Phone Number: | 7634410298 |
Business Fax Number: | 7634410591 |
Mailing Address: | 4200 Dahlberg Dr, Suite 300 GOLDEN VALLEY |
State: | MN |
Postal Code: | 554224840 |
Phone Number: | 9525125600 |
Fax Number: | 9525125651 |
NPI Enumeration Date: | 09/14/2006 |
NPI Last Update Date: | 08/01/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225XH1200X |
License Number: | 100691 |
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: |