NPI 1508542275
Mohamed Mohamed
Practice location
- Address
- 11972 Portland Ave, Burnsville, MN 55337-1516
- Phone
- (952) 658-8670
- Mailing address
- 187 Capitol Vw # 187, Roseville, MN 55113-4732
Registered specialties
Occupational Therapy Assistant
Primary
Registry record
- NPI
- 1508542275
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 26 Jun 2023
- Record last updated
- 26 Jun 2023
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.