MEDICARE: ROBERT L DAHL 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
1	225X00000X	Occupational Therapist	100354	MN

General Provider Information

NPI Number	:	1558308528
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT L DAHL OTR/L

Provider Business Mailing Address
First Line	:	26295 CRYSTAL RD
Second Line	:
City	:	PELICAN RAPIDS
State	:	MN
Zip	:	56572-7553
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	46 N BROADWAY
Second Line	:
City	:	PELICAN RAPIDS
State	:	MN
Zip	:	56572-4137
Country	:	US
Telephone Number	:	218-863-1981
Fax Number	:	218-863-2211

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/31/2006
Last Update Date	:	06/09/2026

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