| Cody Dunkley, OTR/L | |
|
5155 Miller Trunk Hwy, Hermantown, MN 55811-1203 | |
| (218) 729-7150 | |
| Not Available |
| Full Name | Cody Dunkley |
|---|---|
| Gender | Male |
| Speciality | Occupational Therapist - Pediatrics |
| Location | 5155 Miller Trunk Hwy, Hermantown, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881253656 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225XP0200X | Occupational Therapist - Pediatrics | (* (Not Available)) | Primary |
| Provider Name | Autism Opportunities Foundation |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1447348172 PECOS PAC ID: 1153649009 Enrollment ID: O20150406001591 |
| Mailing Address | Practice Location Address |
|---|---|
| Cody Dunkley, OTR/L 5155 Miller Trunk Hwy, Hermantown, MN 55811-1203 Ph: (218) 729-7150 | Cody Dunkley, OTR/L 5155 Miller Trunk Hwy, Hermantown, MN 55811-1203 Ph: (218) 729-7150 |
Casey Headlee, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4195 Westberg Rd, Hermantown, MN 55811 Phone: 218-216-9921 | |
Brooke Bottila, PT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 4195 Westberg Rd, Hermantown, MN 55811 Phone: 218-216-9921 | |
Brittany Christine Malvick, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4195 Westberg Rd, Hermantown, MN 55811 Phone: 218-491-3219 | |
Matthew Mcintyre, MOT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4195 Westberg Rd, Hermantown, MN 55811 Phone: 218-216-9921 |