| Emily A Boughner, MS, OTR/L | |
|
15590 90th St Ne, Otsego, MN 55330-9452 | |
| (763) 755-4275 | |
| (763) 755-4261 |
| Full Name | Emily A Boughner |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 15590 90th St Ne, Otsego, Minnesota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245609213 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225XP0200X | Occupational Therapist - Pediatrics | 104970 (Minnesota) | Secondary |
| 225X00000X | Occupational Therapist | 104970 (Minnesota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Emily A Boughner, MS, OTR/L 1891 Station Parkway Nw, Andover, MN 55304-4259 Ph: (763) 755-4275 | Emily A Boughner, MS, OTR/L 15590 90th St Ne, Otsego, MN 55330-9452 Ph: (763) 755-4275 |
Samantha Jane Young, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 15590 90th St Ne, Otsego, MN 55330 Phone: 763-755-4275 Fax: 763-755-4261 | |
Melanie Deutsch, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 15590 90th St Ne, Otsego, MN 55330 Phone: 763-755-4275 Fax: 763-755-4261 | |
Katelyn Elizabeth O'keefe, M.S. OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 8540 Quaday Ave Ne, Otsego, MN 55330 Phone: 763-441-0298 | |
Deborah Gabel, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 15590 90th St Ne, Otsego, MN 55330 Phone: 763-755-4275 | |
Kyle Lee Cacho, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 15590 90th St Ne, Otsego, MN 55330 Phone: 763-755-4275 | |
Andrea Maureen Gredvig, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 8540 Quaday Ave Ne, Otsego, MN 55330 Phone: 763-441-0298 |