Individual provider · Type 1 NPI

Kristabelle Maria Gruchow, OTR

Occupational Therapist · St. Louis Park, MN

NPI number 1558596122 Active

Practice location

3931 Louisana Ave S, E400
St. Louis Park, MN 55426

Mailing address

2200 Pennsylvania Ave S
St. Louis Park, MN 55426-2507

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000XOT004889 (GA)

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 1558596122

Kristabelle Maria Gruchow, OTR's National Provider Identifier is 1558596122, issued on May 26, 2009. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in St. Louis Park, MN. The record was last updated on Dec 22, 2014.