| Carla Simon, OT | |
|
301 2nd St Ne, New Prague, MN 56071-1709 | |
| (952) 758-4431 | |
| Not Available |
| Full Name | Carla Simon |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 301 2nd St Ne, New Prague, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023406352 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | (* (Not Available)) | Primary |
| Provider Name | Aegis Group Practice Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1417340126 PECOS PAC ID: 5193036432 Enrollment ID: O20150612001586 |
| Mailing Address | Practice Location Address |
|---|---|
| Carla Simon, OT 301 2nd St Ne, New Prague, MN 56071-1709 Ph: () - | Carla Simon, OT 301 2nd St Ne, New Prague, MN 56071-1709 Ph: (952) 758-4431 |
Andrea Beno, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 314 Main St E, Suite 3, New Prague, MN 56071 Phone: 952-758-5775 Fax: 952-758-5778 | |
Mrs. Alice Freda Doll, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 24932 E Cedar Lake Dr, New Prague, MN 56071 Phone: 952-758-4427 Fax: 952-758-4427 | |
Patricia Friedrich, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 314 Main St E, Suite 3, New Prague, MN 56071 Phone: 952-758-5775 Fax: 952-758-5778 | |
Margaret M Koehnen, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 301 2nd St Ne, New Prague, MN 56071 Phone: 952-758-4431 |