| Johanna Mcgough-pose, | |
|
2399 Ariel St N Ste A, Maplewood, MN 55109-2202 | |
| (651) 773-0354 | |
| Not Available |
| Full Name | Johanna Mcgough-pose |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 2399 Ariel St N Ste A, Maplewood, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043625577 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | (* (Not Available)) | Primary |
| Provider Name | Children's Theraplay Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1215104393 PECOS PAC ID: 6507146016 Enrollment ID: O20161129000927 |
| Mailing Address | Practice Location Address |
|---|---|
| Johanna Mcgough-pose, 2399 Ariel St N Ste A, Maplewood, MN 55109-2202 Ph: (651) 773-0354 | Johanna Mcgough-pose, 2399 Ariel St N Ste A, Maplewood, MN 55109-2202 Ph: (651) 773-0354 |
Julie Stricker, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2399 Ariel St N, Suite A, Maplewood, MN 55109 Phone: 651-773-0354 Fax: 651-773-0371 | |
Laura Lee Williams, MA OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1705 Cope Ave E, Suite G, Maplewood, MN 55109 Phone: 651-773-0354 Fax: 651-773-0371 | |
Katie Rath-nesvacil, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1670 Legacy Pkwy E, Maplewood, MN 55109 Phone: 651-756-1859 | |
Emily Grace Burns, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1670 Legacy Pkwy E, Maplewood, MN 55109 Phone: 651-756-1859 | |
Margaret Blessing, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2495 Maplewood Dr, Maplewood, MN 55109 Phone: 651-770-8884 Fax: 651-243-4231 | |
Megan Wetterling, MA OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 2945 Hazelwood St Ste 320, Maplewood, MN 55109 Phone: 651-683-7030 |