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NPI Code Detail

MEDICARE: ERIN COFFEY OTR/L

MEDICARE: ERIN COFFEY 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
1225X00000XOccupational Therapist104964MN

General Provider Information

NPI Number : 1861866824
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIN COFFEY OTR/L
Provider Business Mailing Address
First Line : 2344 HELEN ST N
Second Line :
City : NORTH SAINT PAUL
State : MN
Zip : 55109-2942
Country : US
Telephone Number : 952-746-5350
Fax Number :
Provider Business Practice Location Address
First Line : 4255 LEXINGTON AVE N
Second Line :
City : ARDEN HILLS
State : MN
Zip : 55126-6164
Country : US
Telephone Number : 952-746-5350
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/13/2015
Last Update Date : 10/28/2025

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