Organization · Type 2 NPI

PDR Southdale, Inc

Occupational Therapist · Edina, MN

NPI number 1073626008 Active

Practice location

3400 W 66th St, Suite 450
Edina, MN 55435-2111

Mailing address

11822 Bren Rd
Minnetonka, MN 55343-9464

Specialties and licenses

TaxonomyCodeLicense
Chiropractor 111N00000XNone listed
Physical Medicine & Rehabilitation Physician 208100000XNone listed
General Practice Physician 208D00000XNone listed
Physical Therapist 225100000XNone listed
Occupational Therapist Primary 225X00000XNone listed

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1073626008

PDR Southdale, Inc's National Provider Identifier is 1073626008, issued on Aug 16, 2006. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Edina, MN. The record was last updated on Sep 11, 2025.