Individual
ROBERTA PEERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
500 PARK ST E, ANNANDALE, MN 55302-3060
(763) 689-5385
Mailing address
13431 80TH ST NW, ANNANDALE, MN 55302-3419
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
101689
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21D43PE
BCBS
MN
01
—
6400671
MEDICA
MN
01
—
HP45868
HEALTH PARTNERS
MN
Enumeration date
09/29/2006
Last updated
07/09/2007
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