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Contact Information

ADELYN R KOPP, OTR/L
500 OSBORNE RD NE SUITE 365
FRIDLEY, MN55432
 Phone: 763-236-2150
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for ADELYN R KOPP · (Female)

NPI # 1336791177
Status Active
Credentials OTR/L (Occupational Therapist, Registered, Licensed)
Entity Individual
Enumeration date 07/11/2019
Last updated 07/11/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 105256
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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