Provider Demographics
NPI:1013467984
Name:REES, MAGGIE CAROLINE (OTR/L)
Entity Type:Individual
Prefix:
First Name:MAGGIE
Middle Name:CAROLINE
Last Name:REES
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:MAGGIE
Other - Middle Name:CARLINE
Other - Last Name:MCCABE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:2399 ARIEL STREET N
Mailing Address - Street 2:CHILDREN'S THERAPLAY LLC
Mailing Address - City:MAPLEWOOD
Mailing Address - State:MN
Mailing Address - Zip Code:55109-2202
Mailing Address - Country:US
Mailing Address - Phone:651-773-0354
Mailing Address - Fax:651-773-0371
Practice Address - Street 1:3021 HARBOR LN N STE 120
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:MN
Practice Address - Zip Code:55447-5141
Practice Address - Country:US
Practice Address - Phone:651-773-0354
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-10-04
Last Update Date:2024-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN105103225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics