| Korie Jackson, | |
|
2795 Pilot Knob Rd Ste 100, Eagan, MN 55121-1930 | |
| (651) 994-9644 | |
| Not Available |
| Full Name | Korie Jackson |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 2795 Pilot Knob Rd Ste 100, Eagan, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265939326 | NPI | - | NPPES |
| 105456 | Other | MN | STATE OF MINNESOTA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | (* (Not Available)) | Primary |
| Provider Name | Childrens Therapy Center Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1295809366 PECOS PAC ID: 8426358854 Enrollment ID: O20151207003001 |
| Mailing Address | Practice Location Address |
|---|---|
| Korie Jackson, 2795 Pilot Knob Rd Ste 100, Eagan, MN 55121-1930 Ph: (651) 994-9644 | Korie Jackson, 2795 Pilot Knob Rd Ste 100, Eagan, MN 55121-1930 Ph: (651) 994-9644 |
Colette R Brogan, OT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 3305 Central Park Village Dr, Eagan, MN 55121 Phone: 651-406-8860 | |
Mrs. Catherine Claire Schwartz, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2795 Pilot Knob Rd, Eagan, MN 55121 Phone: 651-994-9644 | |
Stacey Wiles, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2795 Pilot Knob Rd Ste 100, Eagan, MN 55121 Phone: 651-994-9644 | |
Anne Endrizzi, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2795 Pilot Knob Rd, Suite 100, Eagan, MN 55121 Phone: 651-994-9644 Fax: 651-994-8962 | |
Allison V Mikota, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 1185 Town Centre Dr Ste 100, Eagan, MN 55123 Phone: 651-968-5230 Fax: 651-994-5200 | |
Mandy Sans Crainte, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2795 Pilot Knob Rd Ste 100, Eagan, MN 55121 Phone: 651-994-9644 | |
Maureen C Scanlan, OTR/L, CHT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3294 Rolling Hills Dr, Eagan, MN 55121 Phone: 651-686-7145 |