MEDICARE: MRS. ERIN ELIZABETH COLLINS SALINAS MS, OTR/L

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	225X00000X	Occupational Therapist	104208	MN

General Provider Information

NPI Number	:	1255734349
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ERIN ELIZABETH COLLINS SALINAS MS, OTR/L

Provider Business Mailing Address
First Line	:	1936 LYNDALE AVE S
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55403-3101
Country	:	US
Telephone Number	:	612-843-3400
Fax Number	:	612-872-0189

Provider Business Practice Location Address
First Line	:	1936 LYNDALE AVE S
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55403-3101
Country	:	US
Telephone Number	:	612-843-3400
Fax Number	:	612-872-0189

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

Provider Enumeration Date	:	10/02/2014
Last Update Date	:	10/02/2014

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