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NPI Code Detail

MEDICARE: ALYSSA SAATZER M.A., OTR/L

MEDICARE: ALYSSA SAATZER M.A., OTR/L
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist105297MN

General Provider Information

NPI Number : 1790219491
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALYSSA SAATZER M.A., OTR/L
Provider Business Mailing Address
First Line : 4203 ZOEBELLA WAY
Second Line :
City : VICTORIA
State : MN
Zip : 55318-2843
Country : US
Telephone Number : 763-464-6022
Fax Number :
Provider Business Practice Location Address
First Line : 900 W 94TH ST
Second Line :
City : BLOOMINGTON
State : MN
Zip : 55420-4206
Country : US
Telephone Number : 952-885-0418
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/19/2017
Last Update Date : 04/19/2017

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