Mrs Mari Petersen, OTR/L is a
Occupational Therapist based in Canby, Minnesota. Mrs Mari Petersen is licensed to practice in Minnesota (license number 103028) and her current practice location is
112 Saint Olaf Ave S, Canby, Minnesota. She can be reached at her office (for appointments etc.) via phone at
(507) 223-7277.
NPI number for Mrs Mari Petersen is 1356891394 and her current mailing address is 112 Saint Olaf Ave S, Canby, Minnesota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1356891394.
Healthcare Provider's Profile
Full Name | Mrs Mari Petersen |
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Gender | Female |
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Speciality | Occupational Therapist |
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Location | 112 Saint Olaf Ave S, Canby, Minnesota |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1356891394
- Provider Enumeration Date: 10/13/2016
- Last Update Date: 10/13/2016
Medical Identifiers
Medical identifiers for Mrs Mari Petersen such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1356891394 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225X00000X | Occupational Therapist | 0618 (South Dakota) | Secondary |
225X00000X | Occupational Therapist | 103028 (Minnesota) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Mari Petersen is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Mari Petersen, OTR/L 112 Saint Olaf Ave S, Canby, MN 56220-1433 Ph: (507) 223-7277 | Mrs Mari Petersen, OTR/L 112 Saint Olaf Ave S, Canby, MN 56220-1433 Ph: (507) 223-7277 |
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