Cory Jon Jones, | |
7570 Market Place Dr, Eden Prairie, MN 55344-3636 | |
(952) 944-0240 | |
(952) 944-0241 |
Full Name | Cory Jon Jones |
---|---|
Gender | Male |
Speciality | Occupational Therapist - Pediatrics |
Location | 7570 Market Place Dr, Eden Prairie, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407339864 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225XP0200X | Occupational Therapist - Pediatrics | 105742 (Minnesota) | Primary |
Provider Name | Odom Sports Medicine Pa |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1275557886 PECOS PAC ID: 0143485607 Enrollment ID: O20120706000533 |
Mailing Address | Practice Location Address |
---|---|
Cory Jon Jones, 7570 Market Place Dr, Eden Prairie, MN 55344-3636 Ph: (952) 944-0240 | Cory Jon Jones, 7570 Market Place Dr, Eden Prairie, MN 55344-3636 Ph: (952) 944-0240 |
Brennen Walter Gulden, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 7570 Market Place Dr, Eden Prairie, MN 55344 Phone: 952-944-0240 Fax: 952-944-0241 | |
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 |