Mrs Shauna R Nelson, OTR/L, CLT | |
1711 Gold Dr S Ste 120, Fargo, ND 58103-6416 | |
(701) 451-9417 | |
Not Available |
Full Name | Mrs Shauna R Nelson |
---|---|
Gender | Female |
Speciality | Occupational Therapy |
Experience | 32 Years |
Location | 1711 Gold Dr S Ste 120, Fargo, North Dakota |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003393000 | NPI | - | NPPES |
3482838934 | Medicaid | ND |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 453 (North Dakota) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Professional Rehabilitation Center Inc | 5193784080 | 10 |
Provider Name | Professional Rehabilitation Center Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1215014105 PECOS PAC ID: 5193784080 Enrollment ID: O20041006001028 |
Mailing Address | Practice Location Address |
---|---|
Mrs Shauna R Nelson, OTR/L, CLT 4450 31st Ave S Ste 104, Fargo, ND 58104-4557 Ph: (017) 451-9417 | Mrs Shauna R Nelson, OTR/L, CLT 1711 Gold Dr S Ste 120, Fargo, ND 58103-6416 Ph: (701) 451-9417 |
Ms. Kathleen Sayler, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6681 56th Ave S, Fargo, ND 58104 Phone: 701-361-9622 | |
Leslie Anne Myer, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 3000 32nd Ave S, Fargo, ND 58103 Phone: 701-364-8000 Fax: 701-364-8078 | |
Jeremiah Otteson, MOTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2301 25th St S, Fargo, ND 58103 Phone: 701-417-6222 | |
Kayla Brottlund, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 201 University Dr S, Fargo, ND 58103 Phone: 701-239-3000 | |
Karlene Renae Nelson, OTR Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 3060 Frontier Way S, Fargo, ND 58104 Phone: 701-232-2340 | |
Mrs. Shannon Pfau, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1720 University Dr S, Fargo, ND 58103 Phone: 701-417-5500 Fax: 701-540-0098 |