Healthcare Provider Details

I. General information

NPI: 1356597272
Provider Name (Legal Business Name): TWIN CITIES OCCUPATIONAL HEALTH & REHAB
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2008
Last Update Date: 08/12/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10190 BALTIMORE ST NE SUITE 100
BLAINE MN
55449-5056
US

IV. Provider business mailing address

2520 PILOT KNOB RD #250
MENDOTA HEIGHTS MN
55120-1137
US

V. Phone/Fax

Practice location:
  • Phone: 763-780-8264
  • Fax: 763-780-8274
Mailing address:
  • Phone: 651-224-8264
  • Fax: 651-224-8265

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. ROBERT H SEEDS
Title or Position: CEO
Credential:
Phone: 651-224-8264