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NPI Code Detail

MEDICARE: TWIN CITIES OCCUPATIONAL HEALTH AND REHABILITATION

MEDICARE: TWIN CITIES OCCUPATIONAL HEALTH AND REHABILITATION
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
1261QX0100XOccupational Medicine Clinic/Center42667MN

General Provider Information

NPI Number : 1396045597
Entity Type Code : Organization
Provider Name (Legal Business Name) : TWIN CITIES OCCUPATIONAL HEALTH AND REHABILITATION
Provider Business Mailing Address
First Line : 2520 PILOT KNOB ROAD
Second Line : SUITE 250
City : MENDOTA HEIGHTS
State : MN
Zip : 55120-1137
Country : US
Telephone Number : 651-224-8264
Fax Number : 651-224-8265
Provider Business Practice Location Address
First Line : 2520 PILOT KNOB ROAD
Second Line : SUITE 250
City : MENDOTA HEIGHTS
State : MN
Zip : 55120-1137
Country : US
Telephone Number : 651-224-8264
Fax Number : 651-224-8265
Authorized Official
Title or Position : CLINIC ADMINISTRATOR
Name : JANICE K RAVERTY
Credential :
Telephone Number : 651-224-8264
Provider Enumeration Date : 10/22/2010
Last Update Date : 10/22/2010

Similar Medicare Providers

1922056126 — TWIN CITIES PHYSICAL THERAPY AND REHABILITATION
Practice Location Address:
2520 PILOT KNOB RD , 250
MENDOTA HEIGHTS, MN
55120-1137
Practice Phone: 651-224-8264
Practice Fax:
1366491458 — ROBERT HENRY SEEDS P.T. PHD
Practice Location Address:
2520 PILOT KNOB RD , SUITE 250
MENDOTA HEIGHTS, MN
55120-1137
Practice Phone: 651-224-8264
Practice Fax:
1154337913 — TCOH PC
Practice Location Address:
2520 PILOT KNOB RD
MENDOTA HEIGHTS, MN
55120-1137
Practice Phone: 651-224-8264
Practice Fax:
1366713950 — MR. ADAM CHARLES CHRISTIAN KEPLINGER
Practice Location Address:
2520 PILOT KNOB RD
MENDOTA HEIGHTS, MN
55120-1137
Practice Phone: 651-224-8264
Practice Fax:
1285179606 — U.S. HEALTHWORKS MEDICAL GROUP OF MINNESOTA, PC
Practice Location Address:
2520 PILOT KNOB RD , SUITE 250
MENDOTA HEIGHTS, MN
55120-1137
Practice Phone: 651-224-8264
Practice Fax:
1487534970 — JUSTIN PLECKO ATC
Practice Location Address:
2520 PILOT KNOB RD
MENDOTA HEIGHTS, MN
55120-1137
Practice Phone: 651-224-8264
Practice Fax:

Directions to “TWIN CITIES OCCUPATIONAL HEALTH AND REHABILITATION ” Practice Location

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