Provider Demographics
NPI:1912909557
Name:MINNESOTA HAND REHABILITATION INC
Entity Type:Organization
Organization Name:MINNESOTA HAND REHABILITATION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OCCUPATIONAL THERAPIST REGISTERED
Authorized Official - Prefix:MS
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:REINER
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/LCHT
Authorized Official - Phone:651-646-4263
Mailing Address - Street 1:393 DUNLAP ST N
Mailing Address - Street 2:SUITE 736
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55104-4200
Mailing Address - Country:US
Mailing Address - Phone:651-646-4263
Mailing Address - Fax:651-646-8010
Practice Address - Street 1:393 DUNLAP ST N
Practice Address - Street 2:SUITE 736
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55104-4200
Practice Address - Country:US
Practice Address - Phone:651-646-4263
Practice Address - Fax:651-646-8010
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-12
Last Update Date:2008-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN100573225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHandGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN4281OtherHEALTH PARTNERS HMO
MN20571MIOtherBCBS OF MN
00TH000Medicare UPIN
MN20571MIOtherBCBS OF MN
MN670000010Medicare PIN