Organization
PRAIRIE PEDIATRICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE KATHRYN MEIERHOFER OTR/L (OWNER/OCCUPATIONAL THERAPIST)
(320) 290-4003
Entity
Organization
Contact information
Practice address
274 CENTRAL AVE, LONG PRAIRIE, MN 56347-1303
(320) 290-4003
Mailing address
10009 MAJESTIC AVE, FORT MYERS, FL 33913-7086
(320) 290-4003
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
02/17/2020
Last updated
02/17/2020
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