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NPI Code Detail

MEDICARE: MISS KAREN A. BISSON OTR

MEDICARE: MISS KAREN A. BISSON 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 Therapist102336MN

General Provider Information

NPI Number : 1922270610
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS KAREN A. BISSON OTR
Provider Business Mailing Address
First Line : 200 LEWIS AVE S
Second Line : STE# 210
City : WATERTOWN
State : MN
Zip : 55388-4545
Country : US
Telephone Number : 952-955-2242
Fax Number : 952-955-2010
Provider Business Practice Location Address
First Line : 200 LEWIS AVE S
Second Line : STE# 210
City : WATERTOWN
State : MN
Zip : 55388-4545
Country : US
Telephone Number : 952-955-2242
Fax Number : 952-955-2010
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/02/2008
Last Update Date : 04/02/2008

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Directions to “ MISS KAREN A. BISSON OTR” Practice Location

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