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NPI Code Detail

MEDICARE: CHERYL A MEYERS OT

MEDICARE: CHERYL A MEYERS OT
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 Therapist100423MN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3HP56998OTHERHEALTHPARTNERS
41029526OTHERPREFERREDONE
5E004OTHERCHAMPUS
62392561OTHERARAZ
764-05887OTHERMNMEDICA

General Provider Information

NPI Number : 1245268259
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHERYL A MEYERS OT
Provider Business Mailing Address
First Line : 420 DELAWARE ST SE DEPT M
Second Line : UNIVERSITY OF MINNESOTA PHYSICIANS
City : MINNEAPOLIS
State : MN
Zip : 55455-0374
Country : US
Telephone Number : 612-626-6688
Fax Number :
Provider Business Practice Location Address
First Line : 420 DELAWARE ST SE
Second Line : UNIVERSITY OF MINNESOTA PHYSICIANS
City : MINNEAPOLIS
State : MN
Zip : 55455-0341
Country : US
Telephone Number : 612-626-6688
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/29/2006
Last Update Date : 07/09/2007

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