Laurie Christine Humiston, OTR/L | |
6490 Excelsior Blvd, St Louis Park, MN 55426-4705 | |
(952) 993-3961 | |
Not Available |
Full Name | Laurie Christine Humiston |
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Gender | Female |
Speciality | Occupational Therapist |
Location | 6490 Excelsior Blvd, St Louis Park, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295823458 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 01749 (Iowa) | Secondary |
225X00000X | Occupational Therapist | 102399 (Minnesota) | Primary |
Provider Name | Infinite Health Collaborative Pa |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1164474250 PECOS PAC ID: 1052225042 Enrollment ID: O20040209000574 |
Mailing Address | Practice Location Address |
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Laurie Christine Humiston, OTR/L 6465 Wayzata Blvd, Ste 315, St Louis Park, MN 55426-1728 Ph: () - | Laurie Christine Humiston, OTR/L 6490 Excelsior Blvd, St Louis Park, MN 55426-4705 Ph: (952) 993-3961 |
Samantha Marie Slinger, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 3525 Monterey Dr, St Louis Park, MN 55416 Phone: 952-993-6200 | |
Mary Beth Johnson, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426 Phone: 952-993-6087 | |
Danielle Kent, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6500 Excelsior Blvd., St Louis Park, MN 55426 Phone: 952-993-5000 | |
Joanna Lackner, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426 Phone: 952-993-5990 | |
Allison Richmond, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3800 Park Nicollet Blvd, St Louis Park, MN 55416 Phone: 618-795-0240 | |
Brandi Steinbach, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 3800 Park Nicollet Blvd, St Louis Park, MN 55416 Phone: 952-993-6850 | |
Heather M Hawkinson, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 3800 Park Nicollet Blvd, #306, St Louis Park, MN 55416 Phone: 952-993-0468 |