| Mallory Jane W Kantos, OTR/L | |
|
2925 Buckley Way, Inver Grove Heights, MN 55076-2018 | |
| (651) 455-0561 | |
| Not Available |
| Full Name | Mallory Jane W Kantos |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 2925 Buckley Way, Inver Grove Heights, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952938268 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225XP0200X | Occupational Therapist - Pediatrics | 106194 (Minnesota) | Secondary |
| 225X00000X | Occupational Therapist | 106194 (Minnesota) | Primary |
| Provider Name | Centracare Clinic |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1043212665 PECOS PAC ID: 2466363395 Enrollment ID: O20031105000293 |
| Provider Name | St Cloud Hospital |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1043269798 PECOS PAC ID: 4880594779 Enrollment ID: O20110221000134 |
| Provider Name | Therapy Ops Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1013323559 PECOS PAC ID: 6800110255 Enrollment ID: O20150114000037 |
| Mailing Address | Practice Location Address |
|---|---|
| Mallory Jane W Kantos, OTR/L 4338 Mccoll Dr, Savage, MN 55378-1535 Ph: (320) 250-9620 | Mallory Jane W Kantos, OTR/L 2925 Buckley Way, Inver Grove Heights, MN 55076-2018 Ph: (651) 455-0561 |
Chelsey Marie Peters, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 2925 Buckley Way, Inver Grove Heights, MN 55076 Phone: 651-455-0561 Fax: 651-457-4401 | |
Pediatric Therapy Options, Llc Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2865 Upper 62nd St E, Inver Grove Heights, MN 55076 Phone: 651-451-4406 Fax: 651-451-4406 | |
Amber Small, COTA Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 7182 Claude Ave, Inver Grove Heights, MN 55076 Phone: 435-654-8174 | |
Dr. Hayley Mae Demers, OTD, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2925 Buckley Way, Inver Grove Heights, MN 55076 Phone: 651-445-0561 Fax: 651-457-4401 | |
Megan Nalezny, ORT/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5695 Blaine Ave, Blue Room, Inver Grove Heights, MN 55076 Phone: 651-554-9940 Fax: 651-554-9941 | |
Jennifer Lynn Veenendall, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2925 Buckley Way, Inver Grove Heights, MN 55076 Phone: 651-455-0561 Fax: 651-457-4401 | |
Tlc Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5641 Audrey Ave, Inver Grove Heights, MN 55077 Phone: 612-554-5005 |