DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

OBSA ALI

Active

OBSA ALI is a Occupational Therapy Assistant healthcare provider located in BROOKLYN CENTER, Minnesota. NPI 1336992858 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapy Assistant · BROOKLYN CENTER, MN

Registration Details

NPI Number
1336992858
Provider Type
Individual
Gender
Male
NPI Issued
Apr 8, 2024 (2.1648003931123 yrs)
Last Updated
Aug 3, 2025

Practice Information

Address
6040 EARLE BROWN DR STE 310B
BROOKLYN CENTER, MN, 554304523
Browse MN providers · Browse ZIP 55430
Phone
6198083191
Primary Specialty
Occupational Therapy Assistant
225400000X
Additional Specialty
Behavior Technician
Additional Specialty
374K00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.