Anderson, Diane

Anderson, Diane is an individual health care provider with primary practice located at 200 Oak Street S.E. Mcnamara Alumni Center Suite 160 University Of Minnesota Physicians, Minneapolis MN 55455. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Anderson, Diane can be contacted via phone (612) 626-5645.

Contact Information

Primary practice address
200 Oak Street S.E. Mcnamara Alumni Center Suite 160 University Of Minnesota Physicians Minneapolis MN 55455
Phone: (612) 626-5645
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 101023 Minnesota

Profile Details

NPI number 1992749162
LBN Legal business name Anderson, Diane
Credentials Occupational Therapist (OT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2006
Last updated Jul 9th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992749162 NPPES
Montana MEDICAID 3401887
Montana Other 64-05886
Montana Other 2388748
Montana Other 700T9AN
Montana Other 1029526
Montana MEDICAID 40897100
Montana Other B677
Montana Other HP56993

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