Pdr Southdale, Inc - Occupational Therapist in Edina, MN

Pdr Southdale, Inc is a Occupational Therapist based in Edina, Minnesota. Pdr Southdale, Inc is licensed to practice in Minnesota (license number ) and their current practice location is 3400 W 66th St, Suite 450, Edina, Minnesota. It can be reached at their office (for appointments etc.) via phone at (952) 908-2700.

NPI number for Pdr Southdale, Inc is 1073626008 and their current mailing address is 11822 Bren Rd, Minnetonka, Minnesota. Pdr Southdale, Inc does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1073626008.

Contact Information

Pdr Southdale, Inc
3400 W 66th St, Suite 450,
Edina, MN 55435-2111
(952) 908-2700
Not Available



Healthcare Provider's Profile

Full NamePdr Southdale, Inc
TypeFacility
SpecialityOccupational Therapist
Location3400 W 66th St, Edina, Minnesota
Accepts Medicare AssignmentsDoes not participate in Medicare Program. The facility may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1073626008
  • Provider Enumeration Date: 08/16/2006
  • Last Update Date: 08/22/2020

Medical Identifiers

Medical identifiers for Pdr Southdale, Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073626008NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
111N00000XChiropractor (Minnesota)Primary
208100000XPhysical Medicine & Rehabilitation (Minnesota)Primary
208D00000XGeneral Practice (Minnesota)Primary
225100000XPhysical Therapist (Minnesota)Primary
225X00000XOccupational Therapist (Minnesota)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Pdr Southdale, Inc is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Pdr Southdale, Inc
11822 Bren Rd,
Minnetonka, MN 55343-9464

Ph: () -
Pdr Southdale, Inc
3400 W 66th St, Suite 450,
Edina, MN 55435-2111

Ph: (952) 908-2700

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› Verified 1 days ago


Occupational Therapist in Edina, MN

Amber Degraff,
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 4010 W 65th St, Suite 105, Edina, MN 55435
Phone: 952-285-2840    
Anna Bernard, OTR/L
Occupational Therapist
Medicare: Medicare Enrolled
Practice Location: 6401 France Ave S, Edina, MN 55435
Phone: 952-924-1313    
Nicole Simons, OTR
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 6401 France Ave S, Edina, MN 55435
Phone: 952-924-5000    
Hailey Froehlich, OTD
Occupational Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 6700 France Ave S Ste 300, Edina, MN 55435
Phone: 952-345-3000    Fax: 952-345-6789
Anna Green, OTR/L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 4510 W 77th St, Edina, MN 55435
Phone: 952-826-8475    
Martin Wilson, OTR
Occupational Therapist
Medicare: Medicare Enrolled
Practice Location: 7550 France Ave S Ste 220, Edina, MN 55435
Phone: 612-859-7709    Fax: 612-326-1974
Christy R Dauner, O.T.
Occupational Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 7700 France Ave S Ste 240, Edina, MN 55435
Phone: 763-201-8191    

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