Benjamin Germolus, OTD, OTR/L | |
612 S Sibley Ave, Litchfield, MN 55355-3340 | |
(320) 693-4528 | |
(320) 693-4561 |
Full Name | Benjamin Germolus |
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Gender | Male |
Speciality | Occupational Therapist |
Location | 612 S Sibley Ave, Litchfield, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1346978087 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 1965 (North Dakota) | Primary |
Provider Name | Pediatric Therapy Partners Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1457479958 PECOS PAC ID: 3072667203 Enrollment ID: O20090821000335 |
Mailing Address | Practice Location Address |
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Benjamin Germolus, OTD, OTR/L 612 S Sibley Ave, Litchfield, MN 55355-3340 Ph: (320) 639-4528 | Benjamin Germolus, OTD, OTR/L 612 S Sibley Ave, Litchfield, MN 55355-3340 Ph: (320) 693-4528 |
Mrs. Suzanne Cecelia Hansen, MA OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 612 S Sibley Ave, Litchfield, MN 55355 Phone: 320-693-4589 Fax: 320-693-4564 | |
Mackenzie Hoffman, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 612 S Sibley Ave, Litchfield, MN 55355 Phone: 320-693-4561 | |
Carly Ann Derouin, MOT, OTR/L, CLT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 612 S Sibley Ave, Litchfield, MN 55355 Phone: 206-934-5283 |