OrganizationActive
Advance Occupational Therapy, LLC
NPI 1174730899 · Occupational Therapist · Lino Lakes, MN
Provider details
- NPI number
- 1174730899
- Entity type
- Organization
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Jennifer Corbin, Ceo/ Occupational Therapist(651) 784-7007
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Occupational Therapist225X00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
6776 Lake Dr
Suite 220
Lino Lakes, MN 55014-1156
Phone: (651) 784-7007
Fax: (651) 784-7992
Approximate (ZIP-level) locationGet directions
Mailing address
6776 Lake Dr
Lino Lakes, MN 55014-1156
Other names (DBA / former)
- Doing business as
- Advance Therapy
Registry dates
- Enumerated
- 2007-05-16
- Last updated
- 2015-05-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.