IndividualActive
Angie Anderson, OTR/L
NPI 1417129651 · Occupational Therapist · Virginia, MN
Provider details
- NPI number
- 1417129651
- Entity type
- Individual
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OTR/L
- Sex
- Female
- Sole proprietor
- No
- License
- 102301 (MN)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
901 9th St N
Suite 100
Virginia, MN 55792-2325
Phone: (218) 749-9405
Fax: (218) 749-9407
Approximate (ZIP-level) locationGet directions
Mailing address
400 East Third Street
Duluth, MN 55805-1951
Additional practice locations (1)
- 1542 Golf Course Rd Ste 204Grand Rapids, MN 55744-3537Phone: (218) 999-7000Fax: (218) 999-7099
Registry dates
- Enumerated
- 2008-03-27
- Last updated
- 2020-04-20
- Certified
- 2020-04-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.