Healthcare Provider Details

I. General information

NPI: 1134747140
Provider Name (Legal Business Name): CLAIRE L FOWLER OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/07/2020
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2945 HAZELWOOD ST STE 320
MAPLEWOOD MN
55109-1244
US

IV. Provider business mailing address

3001 CHAMBERLIN ST N UNIT 7
MAPLEWOOD MN
55109-5611
US

V. Phone/Fax

Practice location:
  • Phone: 651-683-7030
  • Fax:
Mailing address:
  • Phone: 218-348-4133
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number105360
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: