Provider Demographics
NPI:1457484917
Name:MCGEE, COREY WESTON (MS, OTRL, CHT)
Entity Type:Individual
Prefix:MR
First Name:COREY
Middle Name:WESTON
Last Name:MCGEE
Suffix:
Gender:M
Credentials:MS, OTRL, CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8861 JAMES AVE S
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGTON
Mailing Address - State:MN
Mailing Address - Zip Code:55431-2060
Mailing Address - Country:US
Mailing Address - Phone:952-881-3353
Mailing Address - Fax:
Practice Address - Street 1:6363 FRANCE AVE. SOUTH
Practice Address - Street 2:SUITE 404
Practice Address - City:EDINA
Practice Address - State:MN
Practice Address - Zip Code:55435
Practice Address - Country:US
Practice Address - Phone:952-927-4525
Practice Address - Fax:952-927-7554
Is Sole Proprietor?:No
Enumeration Date:2007-03-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN103360225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand