Individual
ALYSSA WINTERFELDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2230 PLYMOUTH RD APT 215, MINNETONKA, MN 55305-2347
(952) 836-7791
Mailing address
2230 PLYMOUTH RD APT 215, MINNETONKA, MN 55305-2347
(952) 836-7791
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
104948
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
104948
MN LICENSE
MN
01
—
342412
NBCOT CERT
MN
Enumeration date
08/24/2015
Last updated
08/24/2015
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