Individual
MARGARET ANN MEDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
251 COUNTY ROAD 120, SUITE A, SAINT CLOUD, MN 56303
(320) 259-5429
(320) 240-8905
Mailing address
251 COUNTY ROAD 120, SUITE A, SAINT CLOUD, MN 56303
(320) 259-5429
(320) 240-8905
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
100331
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
264M1NO
BLUE CROSS BLUE SHIELD OF MN
MN
01
—
4G184ME
BLUE CROSS BLUE SHIELD
MN
01
—
6405361
MEDICA
MN
05
—
991323800
—
MN
01
—
HP43509
HEALTHPARTNERS
MN
Enumeration date
12/13/2006
Last updated
08/19/2013
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