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

Mohamed Mohamed

Individual provider Occupational Therapy Assistant · NPI 1508542275

Mohamed Mohamed is an Occupational Therapy Assistant in Burnsville, Minnesota. Practices as a sole proprietor. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

11972 Portland Ave
Burnsville, MN 55337-1516
Phone: (952) 658-8670
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X

Record details

NPI number1508542275
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 26, 2023
Last updated in NPPESJune 26, 2023
Certification dateJune 26, 2023
Mailing address187 Capitol Vw # 187, Roseville, MN 55113-4732

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