Provider Demographics
NPI:1750528907
Name:GEISLER, JACQUELINE ELLEN (OTR/L)
Entity type:Individual
Prefix:MS
First Name:JACQUELINE
Middle Name:ELLEN
Last Name:GEISLER
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Gender:F
Credentials:OTR/L
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Mailing Address - Street 1:800 EAST 28TH STREET
Mailing Address - Street 2:ABBOTT NORTHWESTERN HOSPITAL, SISTER KENNY INSTITUTE
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55407-3723
Mailing Address - Country:US
Mailing Address - Phone:612-863-4447
Mailing Address - Fax:612-863-4263
Practice Address - Street 1:800 E 28TH ST
Practice Address - Street 2:ABBOTT NORTHWESTERN HOSPITAL, SISTER KENNY INSTITUTE
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55407-3723
Practice Address - Country:US
Practice Address - Phone:612-863-4447
Practice Address - Fax:612-863-4263
Is Sole Proprietor?:No
Enumeration Date:2009-01-09
Last Update Date:2009-01-09
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Provider Licenses
StateLicense IDTaxonomies
MN100024225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist