Mariane Lyn Walin, PT, DPT, CIMT | |
18055 198th Ave Nw Unit B161, Big Lake, MN 55309-4926 | |
(612) 200-0619 | |
(612) 844-9108 |
Full Name | Mariane Lyn Walin |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 18055 198th Ave Nw Unit B161, Big Lake, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497080212 | NPI | - | NPPES |
P00875211 | Other | IL | MEDICARE RAILROAD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 8414 (Minnesota) | Primary |
Provider Name | Therapy Partners Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1407809494 PECOS PAC ID: 4486552593 Enrollment ID: O20031229000333 |
Mailing Address | Practice Location Address |
---|---|
Mariane Lyn Walin, PT, DPT, CIMT Po Box 574, Big Lake, MN 55309-0574 Ph: (612) 200-0619 | Mariane Lyn Walin, PT, DPT, CIMT 18055 198th Ave Nw Unit B161, Big Lake, MN 55309-4926 Ph: (612) 200-0619 |
Tricia Gallup, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 35 Lake St S, Ste 600, Big Lake, MN 55309 Phone: 763-263-6565 | |
Mrs. Kathryn Sara Schurman, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 790 Minnesota Ave, Big Lake, MN 55309 Phone: 763-263-3684 | |
Sarah Rowe, PT, DPT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 18055 198th Ave Nw Unit B161, Big Lake, MN 55309 Phone: 612-200-0619 Fax: 612-844-9108 | |
Beth K Drager, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 29 Lake St S, Big Lake, MN 55309 Phone: 763-263-3470 Fax: 763-263-5900 |