Organization
EVOLVEWELL OCCUPATIONAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA ENGMAN OTR/L (OWNER/CLINICAL DIRECTOR)
(651) 558-1054
Entity
Organization
Contact information
Practice address
5842 HOBE LN, WHITE BEAR LAKE, MN 55110-6477
(651) 558-1054
Mailing address
5842 HOBE LN, WHITE BEAR LAKE, MN 55110-6477
(651) 558-1054
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
101822
MN
Other
Enumeration date
08/08/2016
Last updated
12/29/2025
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