Individual provider · Type 1 NPI

Teah Gloria Mae Rardin, OT

Occupational Therapist · Brainerd, MN

NPI number 1104369156 Active

Practice location

2016 S 6th St
Brainerd, MN 56401-4529

Fax (218) 825-7379

Mailing address

523 N 3rd St
Brainerd, MN 56401-3054

Specialties and licenses

TaxonomyCodeLicense
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 1104369156

Teah Gloria Mae Rardin, OT's National Provider Identifier is 1104369156, issued on Nov 23, 2016. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Brainerd, MN. The record was last updated on Nov 23, 2016.