Individual
SHARON AHLSWEDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOTR
Contact information
Practice address
146 LAKE ST N STE 200, FOREST LAKE, MN 55025-2555
(651) 275-4706
(651) 770-1180
Mailing address
1939 MINNEHAHA AVE W STE 300, SAINT PAUL, MN 55104-1033
(651) 748-4338
(651) 748-2892
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
104982
MN
225X00000X
Occupational Therapist
11293688-4201
UT
225X00000X
Occupational Therapist
5547
WI
Other
Enumeration date
10/29/2014
Last updated
12/28/2022
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