| Mrs Lyda Azelton, | |
|
2250 Nw 26th St, Owatonna, MN 55060-5503 | |
| (612) 863-6029 | |
| Not Available |
| Full Name | Mrs Lyda Azelton |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist In Private Practice |
| Experience | 27 Years |
| Location | 2250 Nw 26th St, Owatonna, Minnesota |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154552610 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 103739 (Minnesota) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Aegis Group Practice Llc | 5193036432 | 295 |
| 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 |
|---|---|
| Mrs Lyda Azelton, 2250 Nw 26th St, Owatonna, MN 55060-5503 Ph: () - | Mrs Lyda Azelton, 2250 Nw 26th St, Owatonna, MN 55060-5503 Ph: (612) 863-6029 |
Linda Kay Hoffman, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2250 Nw 26th St, Sister Kenny Rehabilitation Institute, Owatonna, MN 55060 Phone: 507-977-2171 Fax: 507-977-2180 | |
Madison Beret Vonruden, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2250 Nw 26th St, Owatonna, MN 55060 Phone: 507-977-2116 | |
Rachel Anne Kluver, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 903 S Oak Ave, Owatonna, MN 55060 Phone: 507-455-7631 |