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NPI Code Detail

MEDICARE: SALLY SCHEIERL

MEDICARE: SALLY SCHEIERL
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 Therapist104566MN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1314186OTHERMNNBCOT
2104566OTHERMNST. OF MN OCCUPATIONAL THERAPY PRACTITIONER LICENSE

General Provider Information

NPI Number : 1649684408
Entity Type Code : Individual
Provider Name (Legal Business Name) : SALLY SCHEIERL
Provider Business Mailing Address
First Line : 14301 EWING AVE S
Second Line :
City : BURNSVILLE
State : MN
Zip : 55306-4885
Country : US
Telephone Number : 952-746-5350
Fax Number :
Provider Business Practice Location Address
First Line : 14301 EWING AVE S
Second Line :
City : BURNSVILLE
State : MN
Zip : 55306-4885
Country : US
Telephone Number : 952-746-5350
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/19/2014
Last Update Date : 02/06/2016

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Directions to “ SALLY SCHEIERL ” Practice Location

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