Mary T Outpatient

LBN: Mary T Outpatient
Mary T Outpatient is an health care organization with primary practice located at 11800 Xeon Blvd Nw , Coon Rapids MN 55448-2061. The organization recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is the primary health care specialty. Mary T Outpatient can be contacted via phone (763) 489-3638, or through Tjosvold, Jason via phone (763) 567-8951.

Contact Information

Primary practice address
11800 Xeon Blvd Nw Coon Rapids MN 55448-2061
Phone: (763) 489-3638
Fax: (763) 647-3885
Website:
Map and Directions
Authorized official contact:
Name: Tjosvold, Jason
Phone: (763) 567-8951

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X

Profile Details

NPI number 1396475927
LBN Legal business name Mary T Outpatient
DBA Doing business as
Authorized official Tjosvold, Jason
Entity Organization
Organization subpart 1 No
Enumeration date Jun 15th, 2022
Last updated Jun 24th, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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