| Organization Name: | TWIN CITIES OCCUPATIONAL HEALTH AND REHABILITATION |
| NPI Number: | 1396045597 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JANICE K RAVERTY (CLINIC ADMINISTRATOR) |
| Mailing Address: | 2520 Pilot Knob Road Suite 250 Mendota Heights |
| State: | MN US |
| Postal Code: | 551201137 |
| Phone Number: | 6512248264 |
| Fax Number: | 6512248265 |
| NPI Enumeration Date: | 10/22/2010 |
| NPI Last Update Date: | 10/22/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QX0100X |
| License Number: | 42667 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Occupational Medicine |
| Taxonomy Definition: | |