Individual
DIANE ANDERSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
200 OAK STREET S.E. MCNAMARA ALUMNI CENTER, SUITE 160 UNIVERSITY OF MINNESOTA PHYSICIANS, MINNEAPOLIS, MN 55455
(612) 626-5645
Mailing address
420 DELAWARE STREET SE, MMC 388 UNIVERSITY OF MINNESOTA PHYSICIANS, MINNEAPOLIS, MN 55455
(612) 625-2661
(612) 624-6686
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
101023
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1029526
PREFERRED ONE
MN
01
—
2388748
ARAZ
MN
05
—
3401887
—
MT
05
—
40897100
—
WI
01
—
64-05886
MEDICA CHOICE & PRIMARY
MN
01
—
700T9AN
BCBS
MN
01
—
B677
CHAMPUS/TRIWEST
MN
01
—
HP56993
HEALTHPARTNERS
MN
Enumeration date
06/16/2006
Last updated
07/09/2007
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