Dr Pamela Jo Moening, OTR/L | |
1217 Elm St, Northfield, MN 55057-2907 | |
(612) 597-9143 | |
Not Available |
Full Name | Dr Pamela Jo Moening |
---|---|
Gender | Female |
Speciality | Occupational Therapist |
Location | 1217 Elm St, Northfield, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861831844 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 103852 (Minnesota) | Primary |
Provider Name | Full Potential Therapy, Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1316513427 PECOS PAC ID: 3274935465 Enrollment ID: O20210709002718 |
Mailing Address | Practice Location Address |
---|---|
Dr Pamela Jo Moening, OTR/L 1217 Elm St, Northfield, MN 55057-2907 Ph: (612) 597-9143 | Dr Pamela Jo Moening, OTR/L 1217 Elm St, Northfield, MN 55057-2907 Ph: (612) 597-9143 |
Colleen Schuda Larson, OT/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 900 Cannon Valley Dr Ste A118, Northfield, MN 55057 Phone: 844-788-3165 | |
Madalyn Sue O'reilly, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1605 Heritage Dr Ste 369, Northfield, MN 55057 Phone: 651-433-1918 Fax: 952-683-1746 | |
Melissa Thone, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2000 North Ave, Northfield, MN 55057 Phone: 507-646-1191 | |
Sheila Marie Wirfs, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1381 Jefferson Rd, Northfield, MN 55057 Phone: 507-646-8800 | |
Nicole M Johnson, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 815 Forest Ave, Northfield, MN 55057 Phone: 507-664-8800 | |
Jennifer Bakke, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 900 Cannon Valley Dr Ste A118, Northfield, MN 55057 Phone: 844-788-3165 | |
Mrs. Joan Marie Stage, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 527 Professional Dr, Northfield, MN 55057 Phone: 507-645-4359 |