Individual provider · Type 1 NPI

Jana Lynn Fossum, OTR L

Occupational Therapist · Andover, MN

NPI number 1679664296 Active

Practice location

1891 Station Pkwy NW
Andover, MN 55304-4259

Call (763) 755-4275 Map

Fax (763) 755-4261

Mailing address

17740 71st Ave N
Maple Grove, MN 55311-4012

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X102082 (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 1679664296

Jana Lynn Fossum, OTR L's National Provider Identifier is 1679664296, issued on Sep 27, 2006. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Andover, MN. The record was last updated on Apr 27, 2010.