Elizabeth Jo Klocke, | |
5860 Baker Rd, Minnetonka, MN 55345-5903 | |
(612) 778-8443 | |
Not Available |
Full Name | Elizabeth Jo Klocke |
---|---|
Gender | Female |
Speciality | Occupational Therapist |
Location | 5860 Baker Rd, Minnetonka, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811488323 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 107229 (Minnesota) | Primary |
Provider Name | Autism Opportunities Foundation |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1447348172 PECOS PAC ID: 1153649009 Enrollment ID: O20150406001591 |
Mailing Address | Practice Location Address |
---|---|
Elizabeth Jo Klocke, 74855 160th Ave, Hayfield, MN 55940-8441 Ph: () - | Elizabeth Jo Klocke, 5860 Baker Rd, Minnetonka, MN 55345-5903 Ph: (612) 778-8443 |
Mallory Hoffman, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5710 Baker Rd, Minnetonka, MN 55345 Phone: 952-767-4200 Fax: 952-767-4211 | |
Emily Hoyer, Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 500 Carlson Pkwy, Minnetonka, MN 55305 Phone: 877-407-3422 | |
Kara Juker, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 500 Carlson Pkwy, Minnetonka, MN 55305 Phone: 877-407-3422 Fax: 877-407-4329 | |
Jessica Lynn Stewart, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 5501 Feltl Rd, Minnetonka, MN 55343 Phone: 952-746-0222 | |
Sydney Mckenzie, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 10653 Wayzata Blvd Ste 200, Minnetonka, MN 55305 Phone: 612-364-1901 | |
Elene Evyenia Lindberg, MS, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 5710 Baker Rd, Minnetonka, MN 55345 Phone: 952-767-4200 Fax: 952-767-4211 | |
Lani Hanson, Occupational Therapist Medicare: May Accept Medicare Assignments Practice Location: 10653 Wayzata Blvd Ste 200, Minnetonka, MN 55305 Phone: 952-224-1919 |