| Andrea Maureen Gredvig, OTR/L | |
|
8540 Quaday Ave Ne, Otsego, MN 55330-6522 | |
| (763) 441-0298 | |
| Not Available |
| Full Name | Andrea Maureen Gredvig |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 8540 Quaday Ave Ne, Otsego, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518650852 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 107083 (Minnesota) | Primary |
| Provider Name | Infinite Health Collaborative, Pa |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1164474250 PECOS PAC ID: 1052225042 Enrollment ID: O20040209000574 |
| Mailing Address | Practice Location Address |
|---|---|
| Andrea Maureen Gredvig, OTR/L 4200 Dahlberg Dr Ste 300, Golden Valley, MN 55422-4841 Ph: (952) 512-5600 | Andrea Maureen Gredvig, OTR/L 8540 Quaday Ave Ne, Otsego, MN 55330-6522 Ph: (763) 441-0298 |
Samantha Jane Young, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 15590 90th St Ne, Otsego, MN 55330 Phone: 763-755-4275 Fax: 763-755-4261 | |
Melanie Deutsch, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 15590 90th St Ne, Otsego, MN 55330 Phone: 763-755-4275 Fax: 763-755-4261 | |
Katelyn Elizabeth O'keefe, M.S. OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 8540 Quaday Ave Ne, Otsego, MN 55330 Phone: 763-441-0298 | |
Deborah Gabel, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 15590 90th St Ne, Otsego, MN 55330 Phone: 763-755-4275 | |
Emily A Boughner, MS, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 15590 90th St Ne, Otsego, MN 55330 Phone: 763-755-4275 Fax: 763-755-4261 | |
Kyle Lee Cacho, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 15590 90th St Ne, Otsego, MN 55330 Phone: 763-755-4275 |