Pine Peak Audiology | |
103 1st St W, Fosston, MN 56542-1212 | |
(218) 431-0009 | |
Not Available |
Full Name | Pine Peak Audiology |
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Type | Facility |
Speciality | Physical Therapist |
Location | 103 1st St W, Fosston, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1982477030 | NPI | - | NPPES |
Provider Name | Mallory Alice Vig |
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Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1376033357 PECOS PAC ID: 0143694737 Enrollment ID: I20230322001510 |
Provider Name | Vickie M Anderson |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1164984647 PECOS PAC ID: 5991154577 Enrollment ID: I20240112003966 |
Provider Name | Andrea Rose Wilson |
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Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1174183594 PECOS PAC ID: 1052647567 Enrollment ID: I20240521001751 |
Mailing Address | Practice Location Address |
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Pine Peak Audiology Po Box 300, Fosston, MN 56542-0300 Ph: (218) 435-1210 | Pine Peak Audiology 103 1st St W, Fosston, MN 56542-1212 Ph: (218) 431-0009 |
Vickie M Anderson, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 103 W 1st St, Fosston, MN 56542 Phone: 218-435-1210 | |
Jacob Arthur Vossler, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 900 Hilligoss Blvd Se, Fosston, MN 56542 Phone: 218-435-1133 Fax: 218-435-1134 |