Wanda J Lickteig, OTR/L, CHT | |
1701 Curve Crest Blvd W, Suite 104, Stillwater, MN 55082-6044 | |
(651) 439-8807 | |
(651) 439-0232 |
Full Name | Wanda J Lickteig |
---|---|
Gender | Female |
Speciality | Occupational Therapy |
Experience | 30 Years |
Location | 1701 Curve Crest Blvd W, Stillwater, Minnesota |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104932730 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225XH1200X | Occupational Therapist - Hand | 103078 (Minnesota) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Infinite Health Collaborative Pa | 1052225042 | 761 |
Provider Name | Infinite Health Collaborative Pa |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1164474250 PECOS PAC ID: 1052225042 Enrollment ID: O20040209000574 |
Mailing Address | Practice Location Address |
---|---|
Wanda J Lickteig, OTR/L, CHT 4200 Dahlberg Dr, Suite 300, Golden Valley, MN 55422-4840 Ph: (952) 512-5600 | Wanda J Lickteig, OTR/L, CHT 1701 Curve Crest Blvd W, Suite 104, Stillwater, MN 55082-6044 Ph: (651) 439-8807 |
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 | |
Sarah Grace Kirvida, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1500 Curve Crest Blvd W, Stillwater, MN 55082 Phone: 651-439-1234 | |
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 |