Provider Demographics
NPI:1881801215
Name:ROLF, ABBEY MARIE (MA, OTR/L)
Entity type:Individual
Prefix:MS
First Name:ABBEY
Middle Name:MARIE
Last Name:ROLF
Suffix:
Gender:F
Credentials:MA, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1641 INTERLAKEN CT
Mailing Address - Street 2:
Mailing Address - City:WACONIA
Mailing Address - State:MN
Mailing Address - Zip Code:55387-2202
Mailing Address - Country:US
Mailing Address - Phone:320-492-9356
Mailing Address - Fax:612-206-8674
Practice Address - Street 1:1641 INTERLAKEN CT
Practice Address - Street 2:
Practice Address - City:WACONIA
Practice Address - State:MN
Practice Address - Zip Code:55387-2202
Practice Address - Country:US
Practice Address - Phone:612-200-2640
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-16
Last Update Date:2023-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN103426225X00000X, 225XL0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XL0004XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistLow VisionGroup - Single Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist