| Lauren Distad, OTD, OTR/L | |
|
900 W 94th St, Bloomington, MN 55420-4206 | |
| (952) 885-0418 | |
| Not Available |
| Full Name | Lauren Distad |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 900 W 94th St, Bloomington, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326802638 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 107372 (Minnesota) | Primary |
| Provider Name | Family Achievement Center Inc. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1952411175 PECOS PAC ID: 6800795444 Enrollment ID: O20040102000720 |
| Mailing Address | Practice Location Address |
|---|---|
| Lauren Distad, OTD, OTR/L 13847 54th Ave N, Minneapolis, MN 55446-1651 Ph: (218) 590-4915 | Lauren Distad, OTD, OTR/L 900 W 94th St, Bloomington, MN 55420-4206 Ph: (952) 885-0418 |
Christina Jean Jensen, OT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 4801 W 81st St Ste 112, Bloomington, MN 55437 Phone: 952-345-3000 Fax: 952-345-6789 | |
Ms. Sandra Marie Meyer, OTR L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3800 American Blvd W, The Hartford, Bloomington, MN 55431 Phone: 952-656-6321 | |
Kim M Waterbury, MS, OTRL, CHT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 8100 Northland Dr, Bloomington, MN 55431 Phone: 952-831-8742 | |
Bailey Paige O'connell, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1801 American Blvd E, Bloomington, MN 55425 Phone: 952-767-2267 | |
Ms. Nancy J Callinan, OT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 8100 Northland Dr, Bloomington, MN 55431 Phone: 952-831-8742 | |
Jennifer Shana Voorhees, OTR L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 900 West 94th Street, Bloomington, MN 55420 Phone: 952-885-0418 Fax: 952-885-0173 | |
Anna Elizabeth Westlund, OTD, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 900 W 94th St, Bloomington, MN 55420 Phone: 651-738-9888 |