Healthcare Provider Details

I. General information

NPI: 1235419748
Provider Name (Legal Business Name): LOURDES I FROST-GARROTE MS, OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/29/2011
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date: 01/12/2015
Reactivation Date: 08/03/2020

III. Provider practice location address

1897 DELAWARE AVE
MENDOTA HEIGHTS MN
55118-4338
US

IV. Provider business mailing address

1897 DELAWARE AVE
MENDOTA HEIGHTS MN
55118-4338
US

V. Phone/Fax

Practice location:
  • Phone: 651-403-7000
  • Fax:
Mailing address:
  • Phone: 651-403-7000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: