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NPI Code Detail

MEDICARE: CHILDREN'S THERAPY WORKS, INC

MEDICARE: CHILDREN'S THERAPY WORKS, INC
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
1235Z00000XSpeech-Language Pathologist379363MN
2225X00000XOccupational Therapist102487MN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1412M2CHOTHERMNBC/BS BUSINESS

General Provider Information

NPI Number : 1811077977
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHILDREN'S THERAPY WORKS, INC
Provider Business Mailing Address
First Line : 312 4TH ST SW STE 11
Second Line :
City : WILLMAR
State : MN
Zip : 56201-3332
Country : US
Telephone Number : 320-214-7082
Fax Number : 320-235-8059
Provider Business Practice Location Address
First Line : 2653 COUNTY ROAD 74
Second Line :
City : SAINT CLOUD
State : MN
Zip : 56301-2205
Country : US
Telephone Number : 320-229-4069
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : MRS. AMY KELLY DANIELSON KRIPPNER
Credential : OTRL
Telephone Number : 320-420-4080
Provider Enumeration Date : 10/16/2006
Last Update Date : 09/01/2022

Similar Medicare Providers

1134212707 — MRS. AMY KELLY DANIELSON KRIPPNER OTR/L
Practice Location Address:
2653 COUNTY ROAD 74
SAINT CLOUD, MN
56301-2205
Practice Phone: 320-420-4080
Practice Fax:
1346706249 — MRS. MARY ANN CROSETTO JOHNSON OTR/L
Practice Location Address:
2653 COUNTY ROAD 74
SAINT CLOUD, MN
56301-2205
Practice Phone: 320-229-4069
Practice Fax:
1154957108 — ELIANA NICOLE STIENESSEN MAOT, OTR/L
Practice Location Address:
2653 COUNTY ROAD 74
SAINT CLOUD, MN
56301-2205
Practice Phone: 320-229-4069
Practice Fax: 320-229-4071
1740807635 — JENNA JEAN SEMRAU OTR/L
Practice Location Address:
2653 COUNTY ROAD 74
SAINT CLOUD, MN
56301-2205
Practice Phone: 320-291-3451
Practice Fax:
1497372684 — SHARI ANN NIEMELA
Practice Location Address:
2653 COUNTY ROAD 74
SAINT CLOUD, MN
56301-2205
Practice Phone: 320-224-4069
Practice Fax:
1952134751 — MOLLY VAN DREHLE
Practice Location Address:
2653 COUNTY ROAD 74
SAINT CLOUD, MN
56301-2205
Practice Phone: 320-229-4069
Practice Fax: 320-229-4071

Directions to “CHILDREN'S THERAPY WORKS, INC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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