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

JACK SIMONSEN

Active Sole Proprietor

JACK SIMONSEN is a Occupational Therapist healthcare provider located in BURNSVILLE, Minnesota. NPI 1972971745 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · BURNSVILLE, MN

Registration Details

NPI Number
1972971745
Provider Type
Individual
Gender
Male
NPI Issued
Sep 9, 2015 (10.784327094419 yrs)
Last Updated
Sep 9, 2015
License
104750 (MN)
Sole Proprietor
Yes

Practice Information

Address
2029 SOUTHCROSS DR W APT 308
BURNSVILLE, MN, 553067929
Browse MN providers · Browse ZIP 55306
Phone
9522390637
Primary Specialty
Occupational Therapist
225X00000X

Other Occupational Therapist Providers in BURNSVILLE, MN

Name Credential NPI
DAVID M NELSON OT 1467424341
KRISTIN ANNE DOLBY OTRL 1578512455
ALLISON J TEACHOUT OTRL 1285650663
MARIA J HARRIS OTRL 1578583712
CARRIE OATMAN MACOSKEY OTR/L, MD LANA 1174538656
RUTH MARGARET LEKANDER OT 1386749075
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.