Paul Michael Hegstrom Iii, OTR/L | |
2195 Century Ave S, Woodbury, MN 55125-2943 | |
(612) 364-1901 | |
Not Available |
Full Name | Paul Michael Hegstrom Iii |
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Gender | Male |
Speciality | Occupational Therapist |
Location | 2195 Century Ave S, Woodbury, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316557671 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 106236 (Minnesota) | Primary |
Provider Name | Odom Sports Medicine Pa |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1275557886 PECOS PAC ID: 0143485607 Enrollment ID: O20120706000533 |
Mailing Address | Practice Location Address |
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Paul Michael Hegstrom Iii, OTR/L 10653 Wayzata Blvd Ste 200, Minnetonka, MN 55305-1543 Ph: () - | Paul Michael Hegstrom Iii, OTR/L 2195 Century Ave S, Woodbury, MN 55125-2943 Ph: (612) 364-1901 |
Heather Foerster-bach, OT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 10459 Raleigh Rd, Woodbury, MN 55129 Phone: 928-607-4233 | |
Colleen Rubin, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2101 Wooddale Dr, Suite A., Woodbury, MN 55125 Phone: 651-738-9888 Fax: 651-738-9889 | |
Patricia Ann Carroll, OTRL Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 2080 Woodwinds Dr, #240, Woodbury, MN 55125 Phone: 651-702-0750 | |
Michelle M Mercado, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 8320 City Centre Dr, Suite G, Woodbury, MN 55125 Phone: 651-738-9888 Fax: 651-738-9889 | |
Katherine Turner, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 7012 Lake Rd, Woodbury, MN 55125 Phone: 612-877-1736 | |
Hannah A Hillstrom, MA OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 2101 Wooddale Dr Ste A, Woodbury, MN 55125 Phone: 651-738-9888 | |
Veronica Arens, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2101 Wooddale Dr Ste A, Woodbury, MN 55125 Phone: 651-738-9888 Fax: 651-738-9889 |