Individual
MS. NAOMI LINDA SIEGAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
2495 MAPLEWOOD DR N STE 313, MAPLEWOOD, MN 55109-1985
(651) 770-8884
(651) 770-8151
Mailing address
4205 10TH AVE S, MINNEAPOLIS, MN 55407-4478
(612) 250-5097
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
101683
MN
225XP0200X
Pediatric Occupational Therapist
101683
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
127038
UCARE MINNESOTA
—
01
—
64-14663
MEDICA
—
05
—
6537260-00
—
MN
01
—
65Q73SI
BLUE CROSS BLUE SHIELD MN
—
Enumeration date
09/16/2006
Last updated
08/04/2022
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