Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kristabelle Maria Gruchow, OTR

Individual provider Occupational Therapist · NPI 1558596122

Kristabelle Maria Gruchow, OTR is an Occupational Therapist in St Louis Park, Minnesota. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2009
What do these letters mean?
OTR — Occupational Therapist, Registered
A nationally registered occupational therapist.

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Practice location Address checks out

3931 Louisana Ave S E400
St Louis Park, MN 55426
Phone: (586) 292-7064
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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 OT004889 (GA)

Record details

NPI number1558596122
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR
Sole proprietorYes
NPI enumeratedMay 26, 2009
Last updated in NPPESDecember 22, 2014

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