Healtheast Optimum Rehabilitation

NPI 1033463450 - Clinic/Center - 261QR0401X

NPI Details
NPI 1033463450
Enumeration Date 11/07/2012
Last Updated 11/07/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name ANNETTE L ANNETTE
Position DIRECTOR
Phone (565) 123-2782
Fax (651) 232-7832
Practice Location
1570 BEAM AVE
SUITE 200
MAPLEWOOD MN, 55109, US
Phone (565) 123-2782
Fax (651) 232-7832
Business Location
1570 BEAM AVE
SUITE 200
MAPLEWOOD MN, 55109-1166, US
Phone (651) 232-7820
Fax (651) 232-7832
Toxanomy
Taxonomy Code 261QR0401X
License State Minnesota
License Number A170
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According to our database, Healtheast Optimum Rehabilitation NPI is 1033463450, taxonomy code is 261QR0401X and license number is A170, license state is located at Minnesota. Healtheast Optimum Rehabilitation physically located at 1570 Beam Ave, Maplewood MN, 55109. NPI Number 1033115704 has the healthcare provider type.

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1033463450 NPI number is provided on an as is basis without warranty of any kind. 1033463450 is maintained by the National Plan & Provider Enumeration System. The contents of Healtheast Optimum Rehabilitation are for informational purposes only.