MEDICARE: MARILYNN POSS

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
1	225100000X	Physical Therapist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2876	OTHER	MN	LICENSE #

General Provider Information

NPI Number	:	1083712871
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARILYNN POSS

Provider Business Mailing Address
First Line	:	100 VILLAGE CENTER DR
Second Line	:	SUITE 220
City	:	NORTH OAKS
State	:	MN
Zip	:	55127-3023
Country	:	US
Telephone Number	:	651-482-8486
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 VILLAGE CENTER DR
Second Line	:	SUITE 220
City	:	NORTH OAKS
State	:	MN
Zip	:	55127-3023
Country	:	US
Telephone Number	:	651-482-8486
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	05/23/2013

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Directions to “ MARILYNN POSS ” Practice Location

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