Provider Demographics
NPI:1699115113
Name:VANLANDSCHOOT, PATRICIA MAY (OTR/L)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:MAY
Last Name:VANLANDSCHOOT
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9782 85TH STREET PL S
Mailing Address - Street 2:
Mailing Address - City:COTTAGE GROVE
Mailing Address - State:MN
Mailing Address - Zip Code:55016-3718
Mailing Address - Country:US
Mailing Address - Phone:651-308-5688
Mailing Address - Fax:
Practice Address - Street 1:9782 85TH STREET PL S
Practice Address - Street 2:
Practice Address - City:COTTAGE GROVE
Practice Address - State:MN
Practice Address - Zip Code:55016-3718
Practice Address - Country:US
Practice Address - Phone:651-308-5688
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-28
Last Update Date:2013-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN101478225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist