Maranda Obritsch, | |
1401 10th Ave W, Mobridge, SD 57601-1106 | |
(605) 845-3692 | |
Not Available |
Full Name | Maranda Obritsch |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 1401 10th Ave W, Mobridge, South Dakota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396419883 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 2424 (South Dakota) | Primary |
225100000X | Physical Therapist | 2536 (North Dakota) | Secondary |
Provider Name | Omaha Therapy Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1730280371 PECOS PAC ID: 1557270915 Enrollment ID: O20041005000504 |
Mailing Address | Practice Location Address |
---|---|
Maranda Obritsch, 683 State Ave, Dickinson, ND 58601-4660 Ph: (701) 483-9400 | Maranda Obritsch, 1401 10th Ave W, Mobridge, SD 57601-1106 Ph: (605) 845-3692 |
Mr. Nathan Bauer, M-PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1401 10th Ave W, Mobridge, SD 57601 Phone: 605-845-3692 Fax: 605-845-8252 | |
Ms. Amy Cerney, D-PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1401 10th Ave W, Mobridge, SD 57601 Phone: 605-845-3692 Fax: 605-845-8252 | |
Drew D Petersen, PT,DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1100 4th Ave E, Mobridge, SD 57601 Phone: 605-848-7201 |