Individual
ANDREA EIESLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
3700 FOSS RD, MINNEAPOLIS, MN 55421-4512
(763) 689-5385
Mailing address
6538 KILMER LN N, MAPLE GROVE, MN 55369-6267
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
102964
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
288K2MU
BCBS
MN
05
—
616055700
—
MN
01
—
6404912
MEDICA
MN
01
—
HP45838
HEALTH PARTNERS
MN
Enumeration date
09/28/2006
Last updated
05/14/2010
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