Elizabeth Ann Jeska, | |
14635 Pennock Ave Ste 300, Apple Valley, MN 55124-6588 | |
(651) 994-9644 | |
Not Available |
Full Name | Elizabeth Ann Jeska |
---|---|
Gender | Female |
Speciality | Occupational Therapist |
Location | 14635 Pennock Ave Ste 300, Apple Valley, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013409879 | NPI | - | NPPES |
1013409879 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 105675 (Minnesota) | Primary |
Provider Name | Childrens Therapy Center Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1295809366 PECOS PAC ID: 8426358854 Enrollment ID: O20151207003001 |
Mailing Address | Practice Location Address |
---|---|
Elizabeth Ann Jeska, 14635 Pennock Ave Ste 300, Apple Valley, MN 55124-6588 Ph: (651) 994-9644 | Elizabeth Ann Jeska, 14635 Pennock Ave Ste 300, Apple Valley, MN 55124-6588 Ph: (651) 994-9644 |
Caitlin Mary Cooper, OTD, OTRL Occupational Therapist Medicare: Medicare Enrolled Practice Location: 15160 Foliage Ave Ste 170, Apple Valley, MN 55124 Phone: 952-683-1745 Fax: 952-683-1746 | |
Jill Kathleen Felts, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 15160 Foliage Ave Ste 170, Apple Valley, MN 55124 Phone: 952-683-1745 Fax: 952-683-1746 | |
Marisa Thomford, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 14635 Pennock Ave Ste 300, Apple Valley, MN 55124 Phone: 651-994-9644 | |
Zachary David Praus, OT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 15160 Foliage Ave Ste 170, Apple Valley, MN 55124 Phone: 952-683-1745 Fax: 952-206-7646 | |
Miss Jaclyn Ashley Hillstrom, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 14635 Pennock Ave, Suite 300, Apple Valley, MN 55124 Phone: 651-994-9644 Fax: 651-994-8962 | |
Mel P Homan, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6400 131st Street Ct, Apple Valley, MN 55124 Phone: 612-423-3673 |