Provider Demographics
NPI:1962827543
Name:BIEHN, JEANETTE ELIZABETH (OTD, OTR/L)
Entity Type:Individual
Prefix:
First Name:JEANETTE
Middle Name:ELIZABETH
Last Name:BIEHN
Suffix:
Gender:F
Credentials:OTD, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5155 E RIVER RD #403
Mailing Address - Street 2:METRO THERAPY
Mailing Address - City:FRIDLEY
Mailing Address - State:MN
Mailing Address - Zip Code:55421
Mailing Address - Country:US
Mailing Address - Phone:763-450-9400
Mailing Address - Fax:763-572-2616
Practice Address - Street 1:5155 E RIVER RD #403
Practice Address - Street 2:METRO THERAPY
Practice Address - City:FRIDLEY
Practice Address - State:MN
Practice Address - Zip Code:55421
Practice Address - Country:US
Practice Address - Phone:763-450-9400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-02-19
Last Update Date:2015-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN104600225XP0200X
MN103958225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics