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STACY GEERDES OTR

>> Occupational Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1245321264

Individual Registrant:
 STACY  GEERDES OTR
Gender: F
Not Sole Proprietor

Location and contact information for practice:
824 N 11TH ST  MONTEVIDEO, MN 56265-1629 US
Tel: 763-689-5385  Fax: --

Contact information for business:
3261 470TH ST  MONTEVIDEO, MN 56265-6450 US
Tel: --  Fax: --

Registration Information:
NPI: 1245321264
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Occupational Therapist
MN101656

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
HDR246533MN04
HEALTH PARTNERSHP69953MN01




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