| Sarah Grace Kirvida, OTR/L | |
|
1500 Curve Crest Blvd W, Stillwater, MN 55082 | |
| (651) 439-1234 | |
| Not Available |
| Full Name | Sarah Grace Kirvida |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 1500 Curve Crest Blvd W, Stillwater, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083194211 | NPI | - | NPPES |
| 225XP0019X | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 103843 (Minnesota) | Primary |
| Provider Name | Group Health Plan Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1710924683 PECOS PAC ID: 1759293954 Enrollment ID: O20031105000417 |
| Provider Name | Fox Rehabilitation Services Mn Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1356802862 PECOS PAC ID: 0941542591 Enrollment ID: O20190430002455 |
| Mailing Address | Practice Location Address |
|---|---|
| Sarah Grace Kirvida, OTR/L 8170 33rd Ave S # Ms 21110q, Minneapolis, MN 55425-4516 Ph: (651) 439-1234 | Sarah Grace Kirvida, OTR/L 1500 Curve Crest Blvd W, Stillwater, MN 55082 Ph: (651) 439-1234 |
Carissa Kusilek, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1460 Curve Crest Blvd W, Stillwater, MN 55082 Phone: 651-439-8283 Fax: 651-439-0576 | |
Nicole Marie Holmgren, OT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1460 Curve Crest Blvd, Stillwater, MN 55082 Phone: 651-439-8283 | |
Michele Moris, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1119 Owens St N, Stillwater, MN 55082 Phone: 652-439-7180 | |
Leigh A Miller, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1700 Tower Dr W, Stillwater, MN 55082 Phone: 651-439-8540 | |
Jamie M Knutson, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1460 Curve Crest Blvd W, Stillwater, MN 55082 Phone: 651-439-8283 Fax: 651-439-0576 | |
Wanda J Lickteig, OTR/L, CHT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 1701 Curve Crest Blvd W, Suite 104, Stillwater, MN 55082 Phone: 651-439-8807 Fax: 651-439-0232 |