Brennen Walter Gulden, OTR/L | |
7570 Market Place Dr, Eden Prairie, MN 55344-3636 | |
(952) 944-0240 | |
(952) 944-0241 |
Full Name | Brennen Walter Gulden |
---|---|
Gender | Male |
Speciality | Occupational Therapy |
Experience | 13 Years |
Location | 7570 Market Place Dr, Eden Prairie, Minnesota |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043576275 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 104115 (Minnesota) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Centracare Clinic Southwest Llc | 8426457946 | 141 |
Provider Name | Centracare Clinic Southwest Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1174106264 PECOS PAC ID: 8426457946 Enrollment ID: O20210602002802 |
Mailing Address | Practice Location Address |
---|---|
Brennen Walter Gulden, OTR/L 7570 Market Place Dr, Eden Prairie, MN 55344-3636 Ph: (952) 944-0240 | Brennen Walter Gulden, OTR/L 7570 Market Place Dr, Eden Prairie, MN 55344-3636 Ph: (952) 944-0240 |
Megan Colette Smisek Holey, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 7624 Executive Dr, Eden Prairie, MN 55344 Phone: 952-944-0240 | |
Rachel Ann Baber, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6545 Flying Cloud Dr Ste 201, Eden Prairie, MN 55344 Phone: 612-364-1901 | |
Julie Faltesek, MOT, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6458 City West Pkwy, Eden Prairie, MN 55344 Phone: 952-767-6796 | |
Lynn Marie Quam, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 7615 Golden Triangle Dr Ste A, Eden Prairie, MN 55344 Phone: 952-767-5914 | |
Sarah Joy Ziegler, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6545 Flying Cloud Dr Ste 201, Eden Prairie, MN 55344 Phone: 612-364-1901 | |
Emily Clarkin, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 7624 Executive Dr, Eden Prairie, MN 55344 Phone: 952-944-0240 |