Michelle Kloke, | |
6625 Lyndale Ave S, Richfield, MN 55423-2373 | |
(952) 285-2840 | |
Not Available |
Full Name | Michelle Kloke |
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Gender | Female |
Speciality | Occupational Therapist |
Location | 6625 Lyndale Ave S, Richfield, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346071990 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 104759 (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 |
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Michelle Kloke, 6625 Lyndale Ave S, Richfield, MN 55423-2373 Ph: () - | Michelle Kloke, 6625 Lyndale Ave S, Richfield, MN 55423-2373 Ph: (952) 285-2840 |
Mrs. Courtney Vander Wal, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6625 Lyndale Ave S, Richfield, MN 55423 Phone: 952-285-2840 | |
Gina Brady, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2400 W 64th St, Richfield, MN 55423 Phone: 612-798-8323 | |
Leah Tacheny, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 7727 Portland Ave, Richfield, MN 55423 Phone: 612-861-1691 | |
Kristin Marie Ries, OTD, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6625 Lyndale Ave S Ste 430, Richfield, MN 55423 Phone: 952-285-2840 | |
Laura Gerdts-saathoff, OTD, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6625 Lyndale Ave S Ste 430, Richfield, MN 55423 Phone: 952-285-2840 | |
Mrs. Katherine Marie Eiden, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2400 W 64th St, Richfield, MN 55423 Phone: 952-767-5918 |