Mrs Lyda Azelton, | |
2250 Nw 26th St, Owatonna, MN 55060-5503 | |
(612) 863-6029 | |
Not Available |
Full Name | Mrs Lyda Azelton |
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Gender | Female |
Speciality | Occupational Therapist |
Location | 2250 Nw 26th St, Owatonna, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154552610 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 103739 (Minnesota) | Primary |
Provider Name | Aegis Group Practice Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1417340126 PECOS PAC ID: 5193036432 Enrollment ID: O20150612001586 |
Mailing Address | Practice Location Address |
---|---|
Mrs Lyda Azelton, 2250 Nw 26th St, Owatonna, MN 55060-5503 Ph: () - | Mrs Lyda Azelton, 2250 Nw 26th St, Owatonna, MN 55060-5503 Ph: (612) 863-6029 |
Linda Kay Hoffman, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2250 Nw 26th St, Sister Kenny Rehabilitation Institute, Owatonna, MN 55060 Phone: 507-977-2171 Fax: 507-977-2180 | |
Madison Beret Vonruden, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2250 Nw 26th St, Owatonna, MN 55060 Phone: 507-977-2116 | |
Rachel Anne Kluver, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 903 S Oak Ave, Owatonna, MN 55060 Phone: 507-455-7631 |