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ALEXANDRIA REHABILITATION LLC

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Occupational Therapist

Provider NPI: 1639558851

Organization Information:
Organization Name:  ALEXANDRIA REHABILITATION LLC
Organization is not Subpart
Authorized Official:  AMOS DANIEL HARTSELL  OCCUPATIONAL THERAPIST / OWNER  320-219-2052

Practice Location:
220 22ND AVE E STE 108  ALEXANDRIA, MN 56308-4875 US
Tel: 320-219-2052  Fax: --

Business Mailing Address:
220 22ND AVE E STE 108  ALEXANDRIA, MN 56308-4875 US
Tel: 320-219-2052  Fax: --

NPI Information:
NPI: 1639558851
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Occupational Therapist
MN104047

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 225X00000X

Type:

Classification:



Definition:



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