| Angela Kezar, | |
|
435 Phalen Blvd, Saint Paul, MN 55130-5302 | |
| (651) 254-3200 | |
| Not Available |
| Full Name | Angela Kezar |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 435 Phalen Blvd, Saint Paul, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316491970 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 105115 (Minnesota) | Primary |
| Provider Name | Regions Hospital |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1154359917 PECOS PAC ID: 3173436755 Enrollment ID: O20031110000511 |
| Mailing Address | Practice Location Address |
|---|---|
| Angela Kezar, 814 River Ln, Anoka, MN 55303-2807 Ph: (763) 567-0219 | Angela Kezar, 435 Phalen Blvd, Saint Paul, MN 55130-5302 Ph: (651) 254-3200 |
Rhonda K Viskoe, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 560 Concordia Ave, Saint Paul, MN 55103 Phone: 651-755-0896 | |
Jennifer L Auger, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 360 Colborne St, Saint Paul, MN 55102 Phone: 651-744-3334 | |
Ann E. Richter, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1600 University Ave W, Suite 10, Saint Paul, MN 55104 Phone: 651-999-1035 | |
Mrs. Lacey Maier, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 640 Jackson St, Saint Paul, MN 55101 Phone: 651-254-5540 | |
Kimberly R Pritchett, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 280 Smith Ave N Ste 500, Saint Paul, MN 55102 Phone: 651-968-5420 Fax: 651-222-0956 | |
Iida Jacobsen, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1394 Jackson St, Saint Paul, MN 55117 Phone: 651-603-8774 | |
Barbara Johnson, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 709 University Ave W, Saint Paul, MN 55104 Phone: 651-227-8471 |