Provider Demographics
NPI:1578182218
Name:GARFIELD, NATALIE RYANE
Entity Type:Individual
Prefix:
First Name:NATALIE
Middle Name:RYANE
Last Name:GARFIELD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3025 OTTAWA AVE S APT 130
Mailing Address - Street 2:
Mailing Address - City:ST LOUIS PARK
Mailing Address - State:MN
Mailing Address - Zip Code:55416-2279
Mailing Address - Country:US
Mailing Address - Phone:914-274-0723
Mailing Address - Fax:
Practice Address - Street 1:3025 OTTAWA AVE S APT 130
Practice Address - Street 2:
Practice Address - City:ST LOUIS PARK
Practice Address - State:MN
Practice Address - Zip Code:55416-2279
Practice Address - Country:US
Practice Address - Phone:914-274-0723
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-13
Last Update Date:2020-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN106232225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist