| Lisa Jean Jeffrey Brown, OTR/L | |
|
1505 Central Ave Nw, East Grand Forks, MN 56721-1301 | |
| (701) 739-6403 | |
| Not Available |
| Full Name | Lisa Jean Jeffrey Brown |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist - Pediatrics |
| Location | 1505 Central Ave Nw, East Grand Forks, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205496346 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225XP0200X | Occupational Therapist - Pediatrics | 100408 (Minnesota) | Primary |
| Provider Name | Home Therapy Solutions Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1801376959 PECOS PAC ID: 2365788569 Enrollment ID: O20190109000832 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Jean Jeffrey Brown, OTR/L 2225 9th St Se, East Grand Forks, MN 56721-3008 Ph: (701) 739-6403 | Lisa Jean Jeffrey Brown, OTR/L 1505 Central Ave Nw, East Grand Forks, MN 56721-1301 Ph: (701) 739-6403 |
Paige Nicole Simonson, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 625 Demers Ave, East Grand Forks, MN 56721 Phone: 218-773-5858 | |
Juan Rosales Jr., Occupational Therapist Medicare: Medicare Enrolled Practice Location: 823 17th St Nw, East Grand Forks, MN 56721 Phone: 701-741-0239 | |
Alexis Marie Hanevold, O.T Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 625 Demers Ave, East Grand Forks, MN 56721 Phone: 218-773-5858 |