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General NPI Number Information
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NPI Number | 1932037645
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Entity Type | Individual
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Provider Name | ELIZABETH PERRA OTR/L, OTD
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Gender | Female
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Dates
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Enumeration Date | 05/12/2026
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Last Update Date | 05/12/2026
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Provider Practice Location Address
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Address Line | 1900 LAKE VALENTINE RD
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City | ARDEN HILLS
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State | MN
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Zip | 55112-2841
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Country | US
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Telephone | 651-621-6000
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Fax |
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Provider Business Mailing Address
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Address Line | 3164 W OWASSO BLVD
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City | ROSEVILLE
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State | MN
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Zip | 55113-2166
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Country | US
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Telephone | 612-860-2430
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | 101901
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License Number State | MN
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