Provider Demographics
NPI:1356597272
Name:TWIN CITIES OCCUPATIONAL HEALTH & REHAB
Entity type:Organization
Organization Name:TWIN CITIES OCCUPATIONAL HEALTH & REHAB
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:H
Authorized Official - Last Name:SEEDS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:651-224-8264
Mailing Address - Street 1:2520 PILOT KNOB RD
Mailing Address - Street 2:#250
Mailing Address - City:MENDOTA HEIGHTS
Mailing Address - State:MN
Mailing Address - Zip Code:55120-1137
Mailing Address - Country:US
Mailing Address - Phone:651-224-8264
Mailing Address - Fax:651-224-8265
Practice Address - Street 1:10190 BALTIMORE ST NE
Practice Address - Street 2:SUITE 100
Practice Address - City:BLAINE
Practice Address - State:MN
Practice Address - Zip Code:55449-5056
Practice Address - Country:US
Practice Address - Phone:763-780-8264
Practice Address - Fax:763-780-8274
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-12
Last Update Date:2008-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service