Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Paul Michael Hegstrom III, OTR/L

Individual provider Occupational Therapist · NPI 1316557671

Paul Michael Hegstrom III, OTR/L is an Occupational Therapist in Woodbury, Minnesota. Licensed in Minnesota. Registered with an NPI since 2020.

Licensed in
MN
In the registry since
2020
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

2195 Century Ave S
Woodbury, MN 55125-2943
Phone: (612) 364-1901
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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 106236 (MN)

Record details

NPI number1316557671
Entity typeIndividual (Type 1)
GenderMale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedAugust 3, 2020
Last updated in NPPESMarch 8, 2021
Certification dateMarch 8, 2021

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