Individual provider · Type 1 NPI

Madeline Charbonneau

Occupational Therapist · Eden Prairie, MN

NPI number 1114849759 Active

Practice location

6545 Flying Cloud Dr Ste 201
Eden Prairie, MN 55344-3356

Fax (612) 999-1943

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X108175 (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 1114849759

Madeline Charbonneau's National Provider Identifier is 1114849759, issued on Jul 27, 2026. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Eden Prairie, MN. The record was last updated on Jul 27, 2026.