Robert Hendrickson, OT | |
301 N Broadway, Pelican Rapids, MN 56572-4113 | |
(218) 863-2000 | |
Not Available |
Full Name | Robert Hendrickson |
---|---|
Gender | Male |
Speciality | Occupational Therapist |
Location | 301 N Broadway, Pelican Rapids, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356627491 | NPI | - | NPPES |
1356627491 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 102343 (Minnesota) | Primary |
Provider Name | Lakes Home Solutions Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1376290338 PECOS PAC ID: 6800283128 Enrollment ID: O20220504002720 |
Mailing Address | Practice Location Address |
---|---|
Robert Hendrickson, OT 1027 Washington Ave, Detroit Lakes, MN 56501-3409 Ph: (218) 863-2000 | Robert Hendrickson, OT 301 N Broadway, Pelican Rapids, MN 56572-4113 Ph: (218) 863-2000 |
Monica Martha Leslie, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 211 East Mill Street, Pelican Rapids, MN 56572 Phone: 218-758-2415 | |
Danelle H Kosciarz, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 211 E Mill St, Pelican Rapids, MN 56572 Phone: 218-863-1140 Fax: 218-863-2530 | |
Torrey Lee Hovland, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 24864 Tri Lakes Dr, Pelican Rapids, MN 56572 Phone: 701-388-9731 Fax: 218-863-2215 |