| Molly Marie Wollner, OTR/L | |
|
640 Jackson St, Saint Paul, MN 55101-2595 | |
| (651) 254-3456 | |
| Not Available |
| Full Name | Molly Marie Wollner |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 640 Jackson St, Saint Paul, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225887771 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 107460 (Minnesota) | Primary |
| Provider Name | Aegis Group Practice Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1417340126 PECOS PAC ID: 5193036432 Enrollment ID: O20150612001586 |
| Mailing Address | Practice Location Address |
|---|---|
| Molly Marie Wollner, OTR/L 1030 Loma Linda Ave, Mound, MN 55364-9756 Ph: (612) 618-3059 | Molly Marie Wollner, OTR/L 640 Jackson St, Saint Paul, MN 55101-2595 Ph: (651) 254-3456 |
Ann E. Richter, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1600 University Ave W, Suite 10, Saint Paul, MN 55104 Phone: 651-999-1035 | |
Mrs. Lacey Maier, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 640 Jackson St, Saint Paul, MN 55101 Phone: 651-254-5540 | |
Kimberly R Pritchett, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 280 Smith Ave N Ste 500, Saint Paul, MN 55102 Phone: 651-968-5420 Fax: 651-222-0956 | |
Iida Jacobsen, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1394 Jackson St, Saint Paul, MN 55117 Phone: 651-603-8774 | |
Barbara Johnson, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 709 University Ave W, Saint Paul, MN 55104 Phone: 651-227-8471 | |
Lauren Eleise Dusek, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 333 Smith Ave N, Saint Paul, MN 55102 Phone: 651-241-8000 | |
Rebecca Jo Binder Marturano, OTR/L. Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 1394 Jackson St, Saint Paul, MN 55117 Phone: 651-603-8774 |