Individual
ASHLEY S MELBOSTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
2104 NORTHDALE BLVD NW STE 100, COON RAPIDS, MN 55433-3045
(763) 755-5495
(763) 862-0342
Mailing address
2104 NORTHDALE BLVD NW STE 100, COON RAPIDS, MN 55433-3045
(763) 755-5495
(763) 862-0342
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
104447
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
056-009472
056-009472
IL
Enumeration date
01/04/2012
Last updated
04/29/2025
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