| Dr Tiffany Vang-sutton, OTD | |
|
5985 Rice Creek Pkwy Ste 205, Shoreview, MN 55126-5037 | |
| (612) 888-4757 | |
| Not Available |
| Full Name | Dr Tiffany Vang-sutton |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 5985 Rice Creek Pkwy Ste 205, Shoreview, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700620655 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 106799 (Minnesota) | Primary |
| Provider Name | Fundamental Kids Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1922443522 PECOS PAC ID: 7810278835 Enrollment ID: O20170106000939 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Tiffany Vang-sutton, OTD 5985 Rice Creek Pkwy Ste 205, Shoreview, MN 55126-5037 Ph: (612) 888-4757 | Dr Tiffany Vang-sutton, OTD 5985 Rice Creek Pkwy Ste 205, Shoreview, MN 55126-5037 Ph: (612) 888-4757 |
Rebecca Lea Pilet, MOT, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 5891 Rice Creek Pkwy Unit 132, Shoreview, MN 55126 Phone: 651-366-9314 | |
Rebecca Moos, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 490 Highway 96 W, Shoreview, MN 55126 Phone: 651-415-5490 | |
Tara Kluz, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 5985 Rice Creek Pkwy, Shoreview, MN 55126 Phone: 612-888-4757 | |
Kristeen Laura Groth, OTR Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1768 Oakwood Dr, Suite 120, Shoreview, MN 55126 Phone: 612-730-8272 Fax: 866-409-6687 | |
Olivia Zoner, OT, D Occupational Therapist Medicare: Medicare Enrolled Practice Location: 490 Highway 96 W, Suite 300, Shoreview, MN 55126 Phone: 651-451-3016 Fax: 651-481-7040 | |
Natalie Rene Wilmes, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 490 Highway 96 W Ste 300, Shoreview, MN 55126 Phone: 651-451-3016 Fax: 651-481-7040 | |
Molly Hunter, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 5985 Rice Creek Pkwy Ste 205, Shoreview, MN 55126 Phone: 612-888-4757 |