Individual provider · Type 1 NPI

Jadene Carol Liedholm

Occupational Therapist · Minneapolis, MN

NPI number 1083736268 Active

Practice location

2450 Riverside Ave, NG44
Minneapolis, MN 55454-1450

Call (612) 672-6000 Map

Mailing address

3856 40th Ave S
Minneapolis, MN 55406-3439

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X100608 (MN)

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 1083736268

Jadene Carol Liedholm's National Provider Identifier is 1083736268, issued on Apr 6, 2007. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Minneapolis, MN. The record was last updated on Jul 8, 2007.