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NPI Code Detail

MEDICARE: SCLINDA JANSSEN OTR

MEDICARE: SCLINDA JANSSEN OTR
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 Therapist101240MN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
15G727JAOTHERMNBCBS

General Provider Information

NPI Number : 1881785699
Entity Type Code : Individual
Provider Name (Legal Business Name) : SCLINDA JANSSEN OTR
Provider Business Mailing Address
First Line : 803 S 23RD ST
Second Line :
City : GRAND FORKS
State : ND
Zip : 58201-4114
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1994 E RUM RIVER DR S
Second Line :
City : CAMBRIDGE
State : MN
Zip : 55008-2663
Country : US
Telephone Number : 763-689-5385
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/27/2006
Last Update Date : 07/09/2007

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Directions to “ SCLINDA JANSSEN OTR” Practice Location

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