| Mackenzie Sandra Danielson, MOT | |
|
2600 Demers Ave Ste 101, Grand Forks, ND 58201-4100 | |
| (701) 739-5437 | |
| (701) 746-9198 |
| Full Name | Mackenzie Sandra Danielson |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 2600 Demers Ave Ste 101, Grand Forks, North Dakota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245855147 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| 225X00000X | Occupational Therapist | 5785 (Minnesota) | Primary |
| Provider Name | Pediatric Therapy Partners Inc |
|---|---|
| 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 |
|---|---|
| Mackenzie Sandra Danielson, MOT 2600 Demers Ave Ste 101, Grand Forks, ND 58201-4100 Ph: (701) 739-5437 | Mackenzie Sandra Danielson, MOT 2600 Demers Ave Ste 101, Grand Forks, ND 58201-4100 Ph: (701) 739-5437 |
Mrs. Heather Ann Thibert, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1300 S Columbia Rd, Grand Forks, ND 58201 Phone: 701-781-2300 Fax: 701-780-1942 | |
Alycia Ann Bosco, MOTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 2951 S 34th St, Grand Forks, ND 58201 Phone: 701-772-3851 | |
Heather Ann Audet, MOTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 S Columbia Rd, Grand Forks, ND 58201 Phone: 701-780-5000 | |
Stephanie Anne Suedel, MOTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 3535 S 31st St Ste 105, Grand Forks, ND 58201 Phone: 701-317-2897 Fax: 701-213-4345 | |
Stacie Lee Voth, MOTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 South Columbia Road, Grand Forks, ND 58206 Phone: 701-780-5000 | |
Mrs. Rhonda Mae Roed, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 South Columbia Road, Grand Forks, ND 58206 Phone: 701-780-5340 Fax: 701-780-1942 | |
Mrs. Alison Jeanne Cherney, MOTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 1000 South Columbia Road, Grand Forks, ND 58206 Phone: 701-780-5000 |