| Mindy Peterson, | |
|
35 1st Ave N, Waite Park, MN 56387-1225 | |
| (320) 252-9595 | |
| Not Available |
| Full Name | Mindy Peterson |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 35 1st Ave N, Waite Park, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588499446 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | (* (Not Available)) | Primary |
| Provider Name | Blue Stone Therapy Inc. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1932797297 PECOS PAC ID: 1850707787 Enrollment ID: O20221027000897 |
| Mailing Address | Practice Location Address |
|---|---|
| Mindy Peterson, 521 Cypress Ct, Cold Spring, MN 56320-9513 Ph: () - | Mindy Peterson, 35 1st Ave N, Waite Park, MN 56387-1225 Ph: (320) 252-9595 |
Aimee Baumann, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1201 2nd St S, Waite Park, MN 56387 Phone: 320-259-4151 Fax: 320-259-5707 | |
Katrina Gearhart, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1201 2nd St S, Waite Park, MN 56387 Phone: 320-370-8000 | |
Tracy Stock, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1201 2nd St S, Waite Park, MN 56387 Phone: 320-370-8000 | |
Sara Liska, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1201 2nd St S, Waite Park, MN 56387 Phone: 218-894-8427 | |
Mrs. Cynthia Leann Mickelson, BA, MOTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 110 2nd St S, Waite Park, MN 56387 Phone: 320-402-4401 | |
Karen Dahl, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1201 2nd St S, Waite Park, MN 56387 Phone: 320-370-8000 |