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

SAMUEL FEDO, ATC

Active

SAMUEL FEDO, ATC is a Occupational Therapy Assistant healthcare provider located in BURNSVILLE, Minnesota. NPI 1639131279 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapy Assistant · BURNSVILLE, MN

Registration Details

NPI Number
1639131279
Provider Type
Individual
Gender
Male
NPI Issued
Apr 6, 2006 (20.328678394828 yrs)
Last Updated
Feb 2, 2011
License
1739 (MN)

Practice Information

Address
501 E NICOLLET BLVD
SUITE 100
BURNSVILLE, MN, 553376732
Browse MN providers · Browse ZIP 55337
Phone
9524604900
Fax
9524604901
Primary Specialty
Occupational Therapy Assistant
225400000X

Other Occupational Therapy Assistant Providers in BURNSVILLE, MN

Name Credential NPI
MARGARET ANNE KRATZ BLS,ALS,CES 1851473482
TERESA LYNN FIETEK CES 1033291646
DANA LOO MS,CES 1477635001
PAULINE M MALECHA 1942424775
SHALEY ZWEBER BA 1700306826
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.