Doctor Name: | MAUREEN C SCANLAN |
NPI Number: | 1134217367 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | OTR/L, CHT |
License Number: | 101605 |
Business Practice Address: | 3294 Rolling Hills Dr Eagan, MN - 551212357 |
Business Phone Number: | 6516867145 |
Business Fax Number: | |
Mailing Address: | 3294 Rolling Hills Dr, EAGAN |
State: | MN |
Postal Code: | 551212357 |
Phone Number: | 6516867145 |
Fax Number: | |
NPI Enumeration Date: | 10/11/2006 |
NPI Last Update Date: | 08/29/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225XH1200X |
License Number: | 101605 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Occupational Therapist |
Taxonomy Specialization: | Hand |
Taxonomy Definition: |