NPI 1134492010

Maureen H Mordick, CTRS

Practitioner Recreation Therapist Saint Paul, MN

Practice location

Address: 640 Jackson St Mailstop 11102d, Saint Paul, MN 55101-2502
Phone: (651) 254-5540

Registered specialties

Recreation Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225800000X Licence 28403

Other Recreation Therapist providers in Minnesota →

Registry record

NPI: 1134492010
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Feb 2012
Record last updated: 22 Feb 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.