Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Alyssa Noel Bagnall, MOT

Individual provider Occupational Therapist · NPI 1124454970

Alyssa Noel Bagnall, MOT is an Occupational Therapist in Maplewood, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2013
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Practice location Address checks out

2370 Stillwater Ave E Apt 303
Maplewood, MN 55119-3680
Phone: (641) 208-7033
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 104554 (MN)

Record details

NPI number1124454970
Entity typeIndividual (Type 1)
GenderFemale
Credentials MOT
Sole proprietorYes
NPI enumeratedSeptember 24, 2013
Last updated in NPPESSeptember 24, 2013

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