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NPI Code Detail

MEDICARE: KELSEY ANN BURNS OTR/L

MEDICARE:   KELSEY ANN BURNS  OTR/L
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225XP0200XPediatric Occupational Therapist105177MN
2225X00000XOccupational Therapist105177MN

General Provider Information

NPI Number : 1093167736
Entity Type Code : Individual
Provider Name (Legal Business Name) : KELSEY ANN BURNS OTR/L
Provider Business Mailing Address
First Line : 5100 W 82ND ST APT 299
Second Line :
City : BLOOMINGTON
State : MN
Zip : 55437-1567
Country : US
Telephone Number : 952-380-8333
Fax Number :
Provider Business Practice Location Address
First Line : 2060 CENTRE POINTE BLVD STE 3
Second Line :
City : MENDOTA HEIGHTS
State : MN
Zip : 55120-1271
Country : US
Telephone Number : 615-275-6420
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/06/2016
Last Update Date : 07/26/2022

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Directions to “ KELSEY ANN BURNS OTR/L” Practice Location

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