| South Metro Theraplay, Llc | |
|
314 Main St E, Suite 3, New Prague, MN 56071-2448 | |
| (952) 758-5775 | |
| (952) 758-5778 |
| Full Name | South Metro Theraplay, Llc |
|---|---|
| Type | Facility |
| Speciality | Occupational Therapist |
| Location | 314 Main St E, New Prague, Minnesota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851392997 | NPI | - | NPPES |
| 685S4SO | Other | MN | BCBS OT PROVIDER # |
| 101451 | Other | MN | HEALTH PARTNERS PROVIDER# |
| 7137545 | Other | MN | AETNA PROVIDER# |
| 4600753 | Other | MN | MEDICA PROVIDER# |
| 685S8SO | Other | MN | BCBS SPEECH PROVIDER # |
| 1040435 | Other | MN | PREFERRED ONE PROVIDER# |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | (Minnesota) | Primary |
| 225X00000X | Occupational Therapist | (Minnesota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| South Metro Theraplay, Llc 314 Main St E, Suite 3, New Prague, MN 56071-2448 Ph: (952) 758-5775 | South Metro Theraplay, Llc 314 Main St E, Suite 3, New Prague, MN 56071-2448 Ph: (952) 758-5775 |
Carla Simon, OT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 301 2nd St Ne, New Prague, MN 56071 Phone: 952-758-4431 | |
Andrea Beno, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 314 Main St E, Suite 3, New Prague, MN 56071 Phone: 952-758-5775 Fax: 952-758-5778 | |
Mrs. Alice Freda Doll, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 24932 E Cedar Lake Dr, New Prague, MN 56071 Phone: 952-758-4427 Fax: 952-758-4427 | |
Patricia Friedrich, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 314 Main St E, Suite 3, New Prague, MN 56071 Phone: 952-758-5775 Fax: 952-758-5778 | |
Margaret M Koehnen, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 301 2nd St Ne, New Prague, MN 56071 Phone: 952-758-4431 |