Provider Demographics
NPI:1659265924
Name:SCHOENFELDER, ALYSSA MARIE (COTA)
Entity type:Individual
Prefix:
First Name:ALYSSA
Middle Name:MARIE
Last Name:SCHOENFELDER
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1401 OAKPOINTE DR
Mailing Address - Street 2:
Mailing Address - City:WACONIA
Mailing Address - State:MN
Mailing Address - Zip Code:55387-4508
Mailing Address - Country:US
Mailing Address - Phone:952-769-3496
Mailing Address - Fax:
Practice Address - Street 1:5855 CHESHIRE PKWY
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:MN
Practice Address - Zip Code:55446-4005
Practice Address - Country:US
Practice Address - Phone:763-519-1350
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-03
Last Update Date:2025-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN202819224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant