Provider Demographics
NPI:1528760469
Name:PERKINS, SERENA MARAIS (OTR)
Entity type:Individual
Prefix:
First Name:SERENA
Middle Name:MARAIS
Last Name:PERKINS
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1657 HELENA RD N
Mailing Address - Street 2:
Mailing Address - City:OAKDALE
Mailing Address - State:MN
Mailing Address - Zip Code:55128-5522
Mailing Address - Country:US
Mailing Address - Phone:651-334-1795
Mailing Address - Fax:
Practice Address - Street 1:1657 HELENA RD N
Practice Address - Street 2:
Practice Address - City:OAKDALE
Practice Address - State:MN
Practice Address - Zip Code:55128-5522
Practice Address - Country:US
Practice Address - Phone:651-334-1795
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-21
Last Update Date:2023-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist