Carol Gilligan, PT | |
490 Highway 96 W, Suite 300, Shoreview, MN 55126-1960 | |
(651) 451-3016 | |
Not Available |
Full Name | Carol Gilligan |
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Gender | Female |
Speciality | Physical Therapist |
Location | 490 Highway 96 W, Shoreview, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053436089 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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225100000X | Physical Therapist | 4069 (Minnesota) | Primary |
Provider Name | Kids Abilities, Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1154455616 PECOS PAC ID: 2264749993 Enrollment ID: O20220711000389 |
Mailing Address | Practice Location Address |
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Carol Gilligan, PT 14111 Paris Ave N, Stillwater, MN 55082-8523 Ph: (651) 451-3016 | Carol Gilligan, PT 490 Highway 96 W, Suite 300, Shoreview, MN 55126-1960 Ph: (651) 451-3016 |
Renee Lynn Miller, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4180 Lexington Ave N, Shoreview, MN 55126 Phone: 651-241-1455 | |
Karla Schneider, Physical Therapist Medicare: Medicare Enrolled Practice Location: 490 Highway 96 W, Suite 300, Shoreview, MN 55126 Phone: 651-451-3016 | |
Mr. Rodney Shawn Koehn, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4180 Lexington Ave N, Shoreview, MN 55126 Phone: 651-241-1455 Fax: 651-241-1456 | |
Caroline Moran, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 404 Highway 96 W Ste C, Shoreview, MN 55126 Phone: 651-275-4706 Fax: 651-765-4108 | |
Theresa Plasencia Physical Therapy, Inc. Physical Therapist Medicare: Medicare Enrolled Practice Location: 1030 County Road E W, Suite 240, Shoreview, MN 55126 Phone: 651-493-0626 Fax: 651-493-8463 | |
Kelly Lynne Roberts, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4625 Churchill St, Motioncare Shoreview Medical Center Suite 204, Shoreview, MN 55126 Phone: 651-484-6735 |