Elizabeth Laura Pouliot, OTD, OTR/L | |
538 Main St S, Cambridge, MN 55008-1614 | |
(763) 260-3144 | |
Not Available |
Full Name | Elizabeth Laura Pouliot |
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Gender | Female |
Speciality | Occupational Therapist |
Location | 538 Main St S, Cambridge, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437867454 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 106997 (Minnesota) | Primary |
Provider Name | Autism Opportunities Foundation |
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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 |
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Elizabeth Laura Pouliot, OTD, OTR/L 5384 383rd St Apt 309, North Branch, MN 55056-6198 Ph: (763) 260-3144 | Elizabeth Laura Pouliot, OTD, OTR/L 538 Main St S, Cambridge, MN 55008-1614 Ph: (763) 260-3144 |
Ms. Angelique Ann Creger, OT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 701 Dellwood St S, Cambridge, MN 55008 Phone: 612-262-7979 | |
Danielle Chartier, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1994 E Rum River Dr S, Cambridge, MN 55008 Phone: 763-689-5385 | |
Tara Vosu, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1994 E Rum River Dr S, Cambridge, MN 55008 Phone: 763-689-5385 | |
Jaime Dick, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1001 Highway 95 E Ste 190, Cambridge, MN 55008 Phone: 763-689-5385 | |
Sandra Dejong, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 135 Fern St N, Cambridge, MN 55008 Phone: 763-689-5385 | |
Karen Griffin, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2151 351st Ave Nw, Cambridge, MN 55008 Phone: 763-689-5385 | |
Amy Roell, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 701 S Dellwood Street, Mail Route 71000, Cambridge, MN 55008 Phone: 763-688-8043 |