| Elizabeth Laura Pouliot, OTD, OTR/L | |
|
538 Main St S, Cambridge, MN 55008-1614 | |
| (763) 260-3144 | |
| Not Available |
| Full Name | Elizabeth Laura Pouliot |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 538 Main St S, Cambridge, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437867454 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 106997 (Minnesota) | 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 |
|---|---|
| Elizabeth Laura Pouliot, OTD, OTR/L 5384 383rd St Apt 309, North Branch, MN 55056-6198 Ph: (763) 260-3144 | Elizabeth Laura Pouliot, OTD, OTR/L 538 Main St S, Cambridge, MN 55008-1614 Ph: (763) 260-3144 |
Ms. Angelique Ann Creger, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 701 Dellwood St S, Cambridge, MN 55008 Phone: 612-262-7979 | |
Danielle Chartier, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1994 E Rum River Dr S, Cambridge, MN 55008 Phone: 763-689-5385 | |
Tara Vosu, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1994 E Rum River Dr S, Cambridge, MN 55008 Phone: 763-689-5385 | |
Jaime Dick, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1001 Highway 95 E Ste 190, Cambridge, MN 55008 Phone: 763-689-5385 | |
Sandra Dejong, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 135 Fern St N, Cambridge, MN 55008 Phone: 763-689-5385 | |
Karen Griffin, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2151 351st Ave Nw, Cambridge, MN 55008 Phone: 763-689-5385 | |
Amy Roell, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 701 S Dellwood Street, Mail Route 71000, Cambridge, MN 55008 Phone: 763-688-8043 |