Mr Evan John Athman, OTR/L | |
1542 Golf Course Rd Ste 204, Grand Rapids, MN 55744-3537 | |
(218) 999-7000 | |
Not Available |
Full Name | Mr Evan John Athman |
---|---|
Gender | Male |
Speciality | Occupational Therapist |
Location | 1542 Golf Course Rd Ste 204, Grand Rapids, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528605920 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 106292 (Minnesota) | Primary |
Provider Name | Pediatric Therapy Partners Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1457479958 PECOS PAC ID: 3072667203 Enrollment ID: O20090821000335 |
Mailing Address | Practice Location Address |
---|---|
Mr Evan John Athman, OTR/L 400 E 3rd St, Duluth, MN 55805-1951 Ph: (218) 786-8364 | Mr Evan John Athman, OTR/L 1542 Golf Course Rd Ste 204, Grand Rapids, MN 55744-3537 Ph: (218) 999-7000 |
Emily Kathryn Bounds, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 923 Hale Lake Pointe, Grand Rapids, MN 55744 Phone: 218-326-0543 | |
Sarah Jean Levar, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1542 Golf Course Rd, Suite 104, Grand Rapids, MN 55744 Phone: 218-326-3300 Fax: 218-326-3400 | |
Leah R. Kessler, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1542 Golf Course Rd Ste 104, Grand Rapids, MN 55744 Phone: 218-326-3300 Fax: 218-326-3400 | |
Trisa Lee Hutchinson, OTD, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 1614 Golf Course Rd, Grand Rapids, MN 55744 Phone: 218-999-7776 Fax: 218-999-0612 | |
Mr. Alex Jeffrey Warren, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1714 Sw 3rd Ave, Grand Rapids, MN 55744 Phone: 651-207-9623 | |
Todd Cortese, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 75 Horseshoe Dr, Grand Rapids, MN 55744 Phone: 218-259-0510 |