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NPI Code Detail

MEDICARE: CAROL ROSE WELTON OTR/L

MEDICARE: CAROL ROSE WELTON 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
1225X00000XOccupational Therapist101013MN

General Provider Information

NPI Number : 1407782782
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAROL ROSE WELTON OTR/L
Provider Business Mailing Address
First Line : 2208 91ST CRES N
Second Line :
City : BROOKLYN PARK
State : MN
Zip : 55443-3860
Country : US
Telephone Number : 763-670-6951
Fax Number :
Provider Business Practice Location Address
First Line : 6625 LYNDALE AVE S STE 430
Second Line :
City : RICHFIELD
State : MN
Zip : 55423-2300
Country : US
Telephone Number : 952-285-2840
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2026
Last Update Date : 06/23/2026

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Directions to “ CAROL ROSE WELTON OTR/L” Practice Location

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