Carrie Peterson, OTR | |
11800 Xeon Blvd Nw, Coon Rapids, MN 55448-2061 | |
(763) 489-3638 | |
(763) 647-3885 |
Full Name | Carrie Peterson |
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Gender | Female |
Speciality | Occupational Therapist |
Location | 11800 Xeon Blvd Nw, Coon Rapids, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134232952 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 103124 (Minnesota) | Primary |
Provider Name | Therapy Partners Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1407809494 PECOS PAC ID: 4486552593 Enrollment ID: O20031229000333 |
Provider Name | Mary T Outpatient |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1396475927 PECOS PAC ID: 0042696700 Enrollment ID: O20221003003110 |
Mailing Address | Practice Location Address |
---|---|
Carrie Peterson, OTR 1939 Minnehaha Ave W, Saint Paul, MN 55104-1033 Ph: (651) 748-4338 | Carrie Peterson, OTR 11800 Xeon Blvd Nw, Coon Rapids, MN 55448-2061 Ph: (763) 489-3638 |
Andrew Thielke, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4050 Coon Rapids Blvd Nw, Coon Rapids, MN 55433 Phone: 763-236-8910 | |
Megan Marie Appelwick, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 300 Coon Rapids Blvd Nw Ste 200, Coon Rapids, MN 55433 Phone: 763-767-0854 | |
Jeffrey Babb, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 9120 Springbrook Dr Nw, Coon Rapids, MN 55433 Phone: 612-767-7222 | |
Dr. Sara Jayne Goranowski, OTD Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4050 Coon Rapids Blvd Nw, Coon Rapids, MN 55433 Phone: 763-236-6000 | |
Amanda Rae Koethe, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4050 Coon Rapids Blvd Nw, Coon Rapids, MN 55433 Phone: 763-236-6000 | |
Mr. Lance David Zarimba, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2014 Northdale Blvd, Coon Rapids, MN 55433 Phone: 763-755-5495 Fax: 763-754-7077 |