Kathryn Perovich, | |
2555 County Road E E Ste 102, White Bear Lake, MN 55110-4906 | |
(651) 683-2953 | |
(651) 705-0051 |
Full Name | Kathryn Perovich |
---|---|
Gender | Female |
Speciality | Occupational Therapist |
Location | 2555 County Road E E Ste 102, White Bear Lake, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871012815 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 105493 (Minnesota) | Primary |
Provider Name | Family Speech & Therapy Services Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1235285966 PECOS PAC ID: 8022335397 Enrollment ID: O20150325001650 |
Mailing Address | Practice Location Address |
---|---|
Kathryn Perovich, 2555 County Road E E Ste 102, White Bear Lake, MN 55110-4906 Ph: (651) 683-2953 | Kathryn Perovich, 2555 County Road E E Ste 102, White Bear Lake, MN 55110-4906 Ph: (651) 683-2953 |
Elizabeth Juanita Duffy, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 4707 Highway 61 N, # 150, White Bear Lake, MN 55110 Phone: 608-322-2722 | |
Mia Rose Massaro, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 2555 County Road E E, White Bear Lake, MN 55110 Phone: 651-683-2953 | |
Ann Eckstrom, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5842 Hobe Ln, White Bear Lake, MN 55110 Phone: 651-383-1197 | |
Jennifer Marie Frison, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2555 County Road E E, White Bear Lake, MN 55110 Phone: 651-683-2953 | |
Wendy Noel Rufledt, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5842 Hobe Ln, White Bear Lake, MN 55110 Phone: 651-383-1197 Fax: 651-383-1198 | |
Evolvewell Occupational Therapy Llc Occupational Therapist Medicare: Medicare Enrolled Practice Location: 5842 Hobe Ln, White Bear Lake, MN 55110 Phone: 651-558-1054 | |
Jenica E Domanico, MA, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5842 Hobe Ln, White Bear Lake, MN 55110 Phone: 651-383-1197 |