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NPI Code Detail

MEDICARE: ELIZABETH JOANNE PEARSON MAOT

MEDICARE: ELIZABETH JOANNE PEARSON MAOT
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 Therapist106180MN

General Provider Information

NPI Number : 1154263309
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH JOANNE PEARSON MAOT
Provider Business Mailing Address
First Line : 5605 GREEN CIRCLE DR
Second Line :
City : MINNETONKA
State : MN
Zip : 55343-4523
Country : US
Telephone Number : 612-217-0436
Fax Number : 952-737-4007
Provider Business Practice Location Address
First Line : 5605 GREEN CIRCLE DR
Second Line :
City : MINNETONKA
State : MN
Zip : 55343-4523
Country : US
Telephone Number : 612-217-0436
Fax Number : 952-737-4007
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/07/2026
Last Update Date : 04/07/2026

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