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NPI Code Detail

MEDICARE: FRANK M MAIXNER OTRL

MEDICARE: FRANK M MAIXNER OTRL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist100269MN

General Provider Information

NPI Number : 1952527061
Entity Type Code : Individual
Provider Name (Legal Business Name) : FRANK M MAIXNER OTRL
Provider Business Mailing Address
First Line : 10530 REDWOOD ST NW
Second Line :
City : COON RAPIDS
State : MN
Zip : 55433-6501
Country : US
Telephone Number : 612-916-2682
Fax Number :
Provider Business Practice Location Address
First Line : 8590 EDINBURGH CENTER DR
Second Line : HENNEPIN HOME HEALTH CARE
City : BROOKLYN PARK
State : MN
Zip : 55443-3723
Country : US
Telephone Number : 763-425-5959
Fax Number : 763-425-5929
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/17/2007
Last Update Date : 08/08/2012

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