Elizabeth Juanita Duffy, OTR/L | |
4707 Highway 61 N, # 150, White Bear Lake, MN 55110-3227 | |
(608) 322-2722 | |
Not Available |
Full Name | Elizabeth Juanita Duffy |
---|---|
Gender | Female |
Speciality | Occupational Therapist |
Location | 4707 Highway 61 N, White Bear 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 |
---|---|---|---|
1124286786 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 1934 (Alaska) | Secondary |
225X00000X | Occupational Therapist | 103660 (Minnesota) | Primary |
Provider Name | Roots And Wings Therapeutic Services Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1902564420 PECOS PAC ID: 4284027806 Enrollment ID: O20220203000682 |
Mailing Address | Practice Location Address |
---|---|
Elizabeth Juanita Duffy, OTR/L 2609 Randy Ave, White Bear Township, MN 55110-4523 Ph: (608) 322-2722 | Elizabeth Juanita Duffy, OTR/L 4707 Highway 61 N, # 150, White Bear Lake, MN 55110-3227 Ph: (608) 322-2722 |
Mia Rose Massaro, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 2555 County Road E E, White Bear Lake, MN 55110 Phone: 651-683-2953 | |
Ann Eckstrom, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5842 Hobe Ln, White Bear Lake, MN 55110 Phone: 651-383-1197 | |
Jennifer Marie Frison, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2555 County Road E E, White Bear Lake, MN 55110 Phone: 651-683-2953 | |
Wendy Noel Rufledt, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5842 Hobe Ln, White Bear Lake, MN 55110 Phone: 651-383-1197 Fax: 651-383-1198 | |
Evolvewell Occupational Therapy Llc Occupational Therapist Medicare: Medicare Enrolled Practice Location: 5842 Hobe Ln, White Bear Lake, MN 55110 Phone: 651-558-1054 | |
Jenica E Domanico, MA, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5842 Hobe Ln, White Bear Lake, MN 55110 Phone: 651-383-1197 |