Diana Skogen, LLC
Organization Active NPI Occupational Therapist · Delavan, MN
NPI 1336330968 · NPPES record last updated Sep 3, 2014
Key facts
- NPI
- 1336330968
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 100274 (MN)
- Legal business name
- DIANA SKOGEN, LLC
- Practice address
- 44070 220TH St
Delavan, MN 56023-6814 - Phone
- (507) 525-3195
- NPI assigned
- Aug 8, 2007
- Organization subpart
- No
Authorized official
- Name
- Diana Lynn Skogen, OTR
- Title
- Sole Owner
- Phone
- (507) 525-3195
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist |
225X00000X | 100274 | MN | Yes |
Addresses
Primary practice location
44070 220TH St
Delavan, MN 56023-6814
Mailing address
44070 220TH St
Delavan, MN 56023-6814
Phone (507) 525-3195
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 672643000 | Medicaid | MN | |
| 185D8MA | Other | MN | BLUE CROSS BLUE SHIELD |
Other providers in Delavan, MN
All providers in Delavan, MN · Occupational Therapist in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 3, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.