Ms. Wendy Joan Mack
Occupational Therapist - Physical Rehabilitation
213 1st Ave Se
Aitkin
, Minnesota 56431-1711
Ms. Wendy Joan Mack
Occupational Therapist - Physical Rehabilitation
213 1st Ave Se
Aitkin
, Minnesota 56431-1711
(218) 839-1792
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About
Features
Specialties
- Occupational Therapist - Physical Rehabilitation
Languages spoken
- English
Location
First Address
- Ms. Wendy Joan Mack
- 213 1st Ave Se
- Aitkin, MN
- Zip : 56431-1711
- Phone : (218) 839-1792
Second Address
- Ms. Wendy Joan Mack
- 213 1st Ave Se
- Aitkin, MN
- Zip : 56431-1711
- Phone : (218) 839-1792
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 101530 | MN |
National Provider Identifier
| NPI | 1073848974 |
|---|---|
| Provider Name | Ms. Wendy Joan Mack |
| First Address | Aitkin, MN 56431-1711 |
| Second Address | Aitkin, MN 56431-1711 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/10/2009 |
| Last Update Date | 09/10/2009 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.