| Dr Pamela Jo Moening, OTR/L | |
|
1217 Elm St, Northfield, MN 55057-2907 | |
| (612) 597-9143 | |
| Not Available |
| Full Name | Dr Pamela Jo Moening |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 1217 Elm St, Northfield, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861831844 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 103852 (Minnesota) | Primary |
| Provider Name | Full Potential Therapy, Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1316513427 PECOS PAC ID: 3274935465 Enrollment ID: O20210709002718 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Pamela Jo Moening, OTR/L 1217 Elm St, Northfield, MN 55057-2907 Ph: (612) 597-9143 | Dr Pamela Jo Moening, OTR/L 1217 Elm St, Northfield, MN 55057-2907 Ph: (612) 597-9143 |
Colleen Schuda Larson, OT/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 900 Cannon Valley Dr Ste A118, Northfield, MN 55057 Phone: 844-788-3165 | |
Madalyn Sue O'reilly, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1605 Heritage Dr Ste 369, Northfield, MN 55057 Phone: 651-433-1918 Fax: 952-683-1746 | |
Melissa Thone, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2000 North Ave, Northfield, MN 55057 Phone: 507-646-1191 | |
Sheila Marie Wirfs, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1381 Jefferson Rd, Northfield, MN 55057 Phone: 507-646-8800 | |
Sara Stuckey, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1310 Bollenbacher Dr, Northfield, MN 55057 Phone: 507-321-8695 | |
Nicole M Johnson, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 815 Forest Ave, Northfield, MN 55057 Phone: 507-664-8800 | |
Jennifer Bakke, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 900 Cannon Valley Dr Ste A118, Northfield, MN 55057 Phone: 844-788-3165 |