Individual
ALLISON J TEACHOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
102752
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
167565F703
UCARE
MN
01
—
2150901
AMERICAS PPO/ARAZ
MN
01
—
291L9DE
BCBS OF MN
MN
01
—
509491028653
PREFERRED ONE
MN
01
—
6401989
MEDICA PRIMARY
MN
01
—
6404761
MEDICA/SELECT CARE
MN
01
—
A007
TRICARE
MN
01
—
HP42618
HEALTH PARTNERS
MN
Enumeration date
07/15/2006
Last updated
05/13/2021
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