Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mallory Anne Baune, OTR/L

Individual provider Occupational Therapist · NPI 1578328506

Mallory Anne Baune, OTR/L is an Occupational Therapist in Burnsville, Minnesota. Works from 2 locations. Licensed in Minnesota.

Licensed in
MN
In the registry since
2024
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

12400 Portland Ave Ste 140
Burnsville, MN 55337-6805
Phone: (952) 428-0400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1467 Lake St S Ste 300, Forest Lake, MN 55025-2681 — (651) 241-3840

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 107346 (MN)

Record details

NPI number1578328506
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedFebruary 19, 2024
Last updated in NPPESFebruary 19, 2024
Certification dateFebruary 19, 2024

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