Johanna Mcgough-pose, | |
2399 Ariel St N Ste A, Maplewood, MN 55109-2202 | |
(651) 773-0354 | |
Not Available |
Full Name | Johanna Mcgough-pose |
---|---|
Gender | Female |
Speciality | Occupational Therapist |
Location | 2399 Ariel St N Ste A, Maplewood, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043625577 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | (* (Not Available)) | Primary |
Provider Name | Children's Theraplay Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1215104393 PECOS PAC ID: 6507146016 Enrollment ID: O20161129000927 |
Mailing Address | Practice Location Address |
---|---|
Johanna Mcgough-pose, 2399 Ariel St N Ste A, Maplewood, MN 55109-2202 Ph: (651) 773-0354 | Johanna Mcgough-pose, 2399 Ariel St N Ste A, Maplewood, MN 55109-2202 Ph: (651) 773-0354 |
Julie Stricker, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2399 Ariel St N, Suite A, Maplewood, MN 55109 Phone: 651-773-0354 Fax: 651-773-0371 | |
Laura Lee Williams, MA OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1705 Cope Ave E, Suite G, Maplewood, MN 55109 Phone: 651-773-0354 Fax: 651-773-0371 | |
Emily Grace Burns, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1670 Legacy Pkwy E, Maplewood, MN 55109 Phone: 651-756-1859 | |
Margaret Blessing, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2495 Maplewood Dr, Maplewood, MN 55109 Phone: 651-770-8884 Fax: 651-243-4231 | |
Megan Wetterling, MA OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 2945 Hazelwood St Ste 320, Maplewood, MN 55109 Phone: 651-683-7030 | |
Maria Denise Balsimo, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2495 Maplewood Drive, Suite 313, Maplewood, MN 55109 Phone: 651-770-8884 Fax: 651-770-8151 |