Evolvewell Occupational Therapy Llc | |
5842 Hobe Ln, White Bear Lake, MN 55110-6477 | |
(651) 558-1054 | |
Not Available |
Full Name | Evolvewell Occupational Therapy Llc |
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Type | Facility |
Speciality | Occupational Therapist |
Location | 5842 Hobe Ln, White Bear Lake, 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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1609320605 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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225X00000X | Occupational Therapist | 101822 (Minnesota) | Primary |
Provider Name | Jessica A Engman |
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Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1952662843 PECOS PAC ID: 8123275716 Enrollment ID: I20120905000089 |
Mailing Address | Practice Location Address |
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Evolvewell Occupational Therapy Llc 5842 Hobe Ln, White Bear Lake, MN 55110-6477 Ph: (651) 558-1054 | Evolvewell Occupational Therapy Llc 5842 Hobe Ln, White Bear Lake, MN 55110-6477 Ph: (651) 558-1054 |
Elizabeth Juanita Duffy, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 4707 Highway 61 N, # 150, White Bear Lake, MN 55110 Phone: 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 | |
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 |