| Odom Health & Wellness | |
|
6545 Flying Cloud Dr Ste 201 Eden Prairie MN 55344-3356 | |
| (952) 224-1919 | |
| (612) 999-1943 |
| Full Name | Odom Health & Wellness |
|---|---|
| Speciality | Family Medicine |
| Location | 6545 Flying Cloud Dr Ste 201, Eden Prairie, Minnesota |
| Authorized Official Name and Position | Caitlyn Larsen (BILLING SUPERVISOR) |
| Authorized Official Contact | 6126198674 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Odom Health & Wellness 6545 Flying Cloud Dr Ste 201 Eden Prairie MN 55344-3356 Ph: (952) 224-1919 | Odom Health & Wellness 6545 Flying Cloud Dr Ste 201 Eden Prairie MN 55344-3356 Ph: (952) 224-1919 |
| NPI Number | 1275557886 |
|---|---|
| Provider Enumeration Date | 07/27/2006 |
| Last Update Date | 04/29/2026 |
| Certification Date | 04/29/2026 |
| Medicare PECOS PAC ID | 0143485607 |
|---|---|
| Medicare Enrollment ID | O20120706000533 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275557886 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QS0010X | Family Medicine - Sports Medicine | () | Primary |
| Provider Name | John H. L. Odom |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215953732 PECOS PAC ID: 3274502455 Enrollment ID: I20040927000127 |
| Provider Name | Chad R Fait |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144303454 PECOS PAC ID: 3173521374 Enrollment ID: I20061127000012 |
| Provider Name | Sara J Welder |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558451807 PECOS PAC ID: 8123020831 Enrollment ID: I20070209000092 |
| Provider Name | Meghan a Klein |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245596196 PECOS PAC ID: 8224294194 Enrollment ID: I20120720000222 |
| Provider Name | Kjerstin K Ohnstad |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548489487 PECOS PAC ID: 1254570450 Enrollment ID: I20130619000542 |
| Provider Name | Trent D Stensrud |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194107243 PECOS PAC ID: 0941519748 Enrollment ID: I20160927001977 |
| Provider Name | Nancy Ann Mack |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528573458 PECOS PAC ID: 3072872167 Enrollment ID: I20180118000320 |
| Provider Name | Danielle M Prom |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306369319 PECOS PAC ID: 1658646823 Enrollment ID: I20180209001821 |
| Provider Name | Katherine Price |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972008522 PECOS PAC ID: 5092070912 Enrollment ID: I20180524001570 |
| Provider Name | Allison Marie Holzwarth |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881185353 PECOS PAC ID: 5193075745 Enrollment ID: I20180904000285 |
| Provider Name | Andrew J Moran |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487145405 PECOS PAC ID: 7810247020 Enrollment ID: I20180910002675 |
| Provider Name | Jessica Ann Swink |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467796607 PECOS PAC ID: 9537413935 Enrollment ID: I20181126000252 |
| Provider Name | Joshua D Fingerman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083004303 PECOS PAC ID: 8527305630 Enrollment ID: I20190128003354 |
| Provider Name | Katie Lynn Meyers |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679825558 PECOS PAC ID: 5799936845 Enrollment ID: I20190207002822 |
| Provider Name | Rachel a Hansen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669945077 PECOS PAC ID: 0244578508 Enrollment ID: I20190212000312 |
| Provider Name | Amanda Margaret Lane |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780248419 PECOS PAC ID: 1759614696 Enrollment ID: I20190610001119 |
| Provider Name | Christa Marie Haskins |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063463404 PECOS PAC ID: 6002146644 Enrollment ID: I20190925001956 |
| Provider Name | Dianna Knack |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306490628 PECOS PAC ID: 0547591349 Enrollment ID: I20191009001042 |
| Provider Name | Stefanie El-darazi |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235538653 PECOS PAC ID: 5890913727 Enrollment ID: I20200115001072 |
| Provider Name | Michaela Krumholz |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639719776 PECOS PAC ID: 8325473341 Enrollment ID: I20200122001615 |
| Provider Name | Nathaniel J Vanloon |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1437781333 PECOS PAC ID: 9537597273 Enrollment ID: I20200312000545 |
| Provider Name | Caroline Jasper |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184234692 PECOS PAC ID: 5698192599 Enrollment ID: I20200824001567 |
| Provider Name | Hannah Marie Kaldahl |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508478413 PECOS PAC ID: 7315364593 Enrollment ID: I20200902001849 |
| Provider Name | James I Joseph |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104381680 PECOS PAC ID: 2163849183 Enrollment ID: I20200904000031 |
| Provider Name | Kathryn Ourada |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770178691 PECOS PAC ID: 3173939709 Enrollment ID: I20210306000025 |
| Provider Name | Carrie Kelley |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1336396365 PECOS PAC ID: 0042627648 Enrollment ID: I20210326001747 |
| Provider Name | Alexandra Heinrich |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477147551 PECOS PAC ID: 7810305265 Enrollment ID: I20210423000209 |
| Provider Name | Emily L Parnell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700419207 PECOS PAC ID: 7618386798 Enrollment ID: I20210430000388 |
| Provider Name | Morgan Shannon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760066880 PECOS PAC ID: 8820497878 Enrollment ID: I20210525002327 |
| Provider Name | Lucas Blanchard |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932774874 PECOS PAC ID: 9436558996 Enrollment ID: I20210603001131 |
| Provider Name | Morgan Lea Scheid |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396337366 PECOS PAC ID: 7719380989 Enrollment ID: I20210726001834 |
| Provider Name | Sydney Rae Smith |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1891461430 PECOS PAC ID: 5799181657 Enrollment ID: I20210901002422 |
| Provider Name | Chelsea L Campagna |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1821594110 PECOS PAC ID: 3072911643 Enrollment ID: I20211012002365 |
| Provider Name | Amanda Lyn Sundin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518105352 PECOS PAC ID: 0244621944 Enrollment ID: I20220106000157 |
| Provider Name | Claire Lynn Wheatley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326633322 PECOS PAC ID: 7810382710 Enrollment ID: I20220310002534 |
| Provider Name | Kelsey Schaefbauer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528637428 PECOS PAC ID: 5395130108 Enrollment ID: I20220314001757 |
| Provider Name | Gretta Adams |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841944543 PECOS PAC ID: 4486048642 Enrollment ID: I20220330002918 |
| Provider Name | Marah Slieter |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184353385 PECOS PAC ID: 0345629267 Enrollment ID: I20220623002688 |
| Provider Name | Alexa Ronayne |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1043702210 PECOS PAC ID: 5294115853 Enrollment ID: I20220629002290 |
| Provider Name | Jacey Jo Wenner |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225760804 PECOS PAC ID: 8729463989 Enrollment ID: I20220923002474 |
| Provider Name | Jeri Rowley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396815544 PECOS PAC ID: 8729072905 Enrollment ID: I20221026002722 |
| Provider Name | Molly Etta Koisti |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1750005179 PECOS PAC ID: 4688041007 Enrollment ID: I20221027002037 |
| Provider Name | Steven Louis Bultena |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780393694 PECOS PAC ID: 3072983014 Enrollment ID: I20230107000178 |
| Provider Name | Kathryn Scrimgeour |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558073882 PECOS PAC ID: 0648640599 Enrollment ID: I20230110002116 |
| Provider Name | Maya Renee Delport |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275183154 PECOS PAC ID: 0941673313 Enrollment ID: I20230306001619 |
| Provider Name | Sydney Mckenzie |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063110872 PECOS PAC ID: 0547633927 Enrollment ID: I20230306001824 |
| Provider Name | Victoria Sweely |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063105500 PECOS PAC ID: 4981061611 Enrollment ID: I20230612000375 |
| Provider Name | Nicole Schroeder |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629760780 PECOS PAC ID: 2466810288 Enrollment ID: I20230626002786 |
| Provider Name | Katherine Marie Martinek |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245921212 PECOS PAC ID: 4385002187 Enrollment ID: I20230627002036 |
| Provider Name | Caitlin Schultz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184332215 PECOS PAC ID: 0941678577 Enrollment ID: I20230721001674 |
| Provider Name | Claire Rondeau |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1225811250 PECOS PAC ID: 8123481769 Enrollment ID: I20230829003459 |
| Provider Name | Hoang Vu Khac Pham |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962170134 PECOS PAC ID: 7012361967 Enrollment ID: I20230926001904 |
| Provider Name | Heidi Jo Lehn |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538255450 PECOS PAC ID: 0244684975 Enrollment ID: I20230928001017 |
| Provider Name | Riley J Schilling |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750056263 PECOS PAC ID: 1254737752 Enrollment ID: I20231005002063 |
| Provider Name | Clara E Keyes Ehrman |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659151264 PECOS PAC ID: 5890141063 Enrollment ID: I20231024002074 |
| Provider Name | Allison a Roehl |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255112363 PECOS PAC ID: 8224484167 Enrollment ID: I20231027002811 |
| Provider Name | Christine M Konopacki |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437921624 PECOS PAC ID: 6305292947 Enrollment ID: I20231102000882 |
| Provider Name | Michelle Lavinia Skavhaug |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912638016 PECOS PAC ID: 5294181848 Enrollment ID: I20231102000994 |
| Provider Name | Rachel M Webster |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1770216848 PECOS PAC ID: 5991153934 Enrollment ID: I20231130002875 |
| Provider Name | Jake Phillip Toedter |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396347878 PECOS PAC ID: 3072963826 Enrollment ID: I20231220002185 |
| Provider Name | Tabitha Butler |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487422648 PECOS PAC ID: 2264882422 Enrollment ID: I20231229001924 |
| Provider Name | Jalyn Robinson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295514016 PECOS PAC ID: 5395197750 Enrollment ID: I20240122001651 |
| Provider Name | Tyan Kan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265045793 PECOS PAC ID: 8820464936 Enrollment ID: I20240216004199 |
| Provider Name | Lisa Brooke Carter |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962773911 PECOS PAC ID: 4789021452 Enrollment ID: I20240318002976 |
| Provider Name | Stephanie Sterk |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609634666 PECOS PAC ID: 2668819582 Enrollment ID: I20240327000531 |
| Provider Name | Jenna Liwen Bartunek |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669230637 PECOS PAC ID: 3173961869 Enrollment ID: I20240401000542 |
| Provider Name | Emenet Sime |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265285282 PECOS PAC ID: 9537508775 Enrollment ID: I20240419002367 |
| Provider Name | Chelsea Marie Krob |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902247240 PECOS PAC ID: 0143660555 Enrollment ID: I20240502001775 |
| Provider Name | Jacqueline Pieper |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1679315774 PECOS PAC ID: 9133662679 Enrollment ID: I20240625001589 |
| Provider Name | Marie Meysembourg |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1710729561 PECOS PAC ID: 0143764753 Enrollment ID: I20240705002869 |
| Provider Name | Rebeca Alvarez |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1447092291 PECOS PAC ID: 3971047531 Enrollment ID: I20240708000676 |
| Provider Name | Katie Hautman |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972348639 PECOS PAC ID: 8527503036 Enrollment ID: I20240709002311 |
| Provider Name | Kalley Kadlec |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245075902 PECOS PAC ID: 8123563673 Enrollment ID: I20240709003675 |
| Provider Name | Bradley Meilinger |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235974999 PECOS PAC ID: 2365987815 Enrollment ID: I20240709003864 |
| Provider Name | Kaia Kirkeide |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780429449 PECOS PAC ID: 1759827900 Enrollment ID: I20240724000179 |
| Provider Name | Laura Hemstad |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508603184 PECOS PAC ID: 8123565561 Enrollment ID: I20240803000061 |
| Provider Name | Miranda Dawn Riffle |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629208491 PECOS PAC ID: 2668919853 Enrollment ID: I20240806001623 |
| Provider Name | Emily Claire Flint |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1346097599 PECOS PAC ID: 9436697075 Enrollment ID: I20240814003470 |
| Provider Name | Jayden Chione Latterell |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1386476919 PECOS PAC ID: 0840730149 Enrollment ID: I20240913000740 |
| Provider Name | Jonathan Gogolakis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770319675 PECOS PAC ID: 6709327109 Enrollment ID: I20240925003800 |
| Provider Name | Amy Joy Mugaas |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881428357 PECOS PAC ID: 3476085879 Enrollment ID: I20241010000146 |
| Provider Name | Bailey Marie Waldhauser |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982315727 PECOS PAC ID: 8123553831 Enrollment ID: I20241118004083 |
| Provider Name | Taylor Lennartson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538985346 PECOS PAC ID: 2668908401 Enrollment ID: I20241204000738 |
| Provider Name | Makayla Heim |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861201105 PECOS PAC ID: 2365970332 Enrollment ID: I20250106000539 |
| Provider Name | Madison Hurrle |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780492314 PECOS PAC ID: 4284164351 Enrollment ID: I20250205002582 |
| Provider Name | Chandler Johnson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801601620 PECOS PAC ID: 2062932353 Enrollment ID: I20250217001887 |
| Provider Name | Samantha Parmeter |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174310544 PECOS PAC ID: 8527583442 Enrollment ID: I20250423000867 |
| Provider Name | Amy Cantele |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1093283772 PECOS PAC ID: 0840715793 Enrollment ID: I20250423001597 |
| Provider Name | Cassidy Krawczak-kummrow |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1699668533 PECOS PAC ID: 5294245734 Enrollment ID: I20250612001032 |
| Provider Name | Hannah Schliemann |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1184518177 PECOS PAC ID: 0446750731 Enrollment ID: I20250821002699 |
| Provider Name | Abby Crimmins |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1467052662 PECOS PAC ID: 9537571922 Enrollment ID: I20250918002679 |
| Provider Name | Daniel Bielski |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598654139 PECOS PAC ID: 7315430915 Enrollment ID: I20251202003809 |
| Provider Name | Allison Rose-lofgren Brandts |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649731662 PECOS PAC ID: 9234610452 Enrollment ID: I20260225004018 |
| Provider Name | Julia Marie Erickson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548115744 PECOS PAC ID: 1456835339 Enrollment ID: I20260318003358 |
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