| Ms Lisa Andrea Samuelson, OTR | |
|
4342 15th Ave S Ste 105, Fargo, ND 58103-1125 | |
| (701) 936-9495 | |
| (952) 222-1994 |
| Full Name | Ms Lisa Andrea Samuelson |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist - Pediatrics |
| Location | 4342 15th Ave S Ste 105, Fargo, North Dakota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730669995 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225XP0200X | Occupational Therapist - Pediatrics | 114432 (Texas) | Primary |
| Provider Name | Embrace Therapy Services |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1134780349 PECOS PAC ID: 1850621095 Enrollment ID: O20191001001927 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Lisa Andrea Samuelson, OTR 4342 15th Ave S Ste 105, Fargo, ND 58103-1125 Ph: (701) 936-9495 | Ms Lisa Andrea Samuelson, OTR 4342 15th Ave S Ste 105, Fargo, ND 58103-1125 Ph: (701) 936-9495 |
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 | |
Mrs. Shauna R Nelson, OTR/L, CLT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 1711 Gold Dr S Ste 120, Fargo, ND 58103 Phone: 701-451-9417 | |
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 |