# PAXXON HEALTHCARE SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083978894
- **Authorized official:** ROGER BERKLEY (PRESIDENT)
- **Authorized official phone:** (516) 510-9884

## Contact information

- **Practice address:** 3663 PARK CENTER BLVD, ST LOUIS PARK, MN 55416-2532
- **Practice address phone:** (952) 925-6231
- **Practice address fax:** (952) 926-6823
- **Mailing address:** 10 NEW KING ST, SUITE 105, WHITE PLAINS, NY 10604-1205
- **Mailing address phone:** (914) 390-9880
- **Mailing address fax:** (914) 390-9881

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |
| 235Z00000X | Speech-Language Pathologist | — | NULL | — |
| 235Z00000X | Speech-Language Pathologist | — | — | — |

## Other

- **Enumeration date:** 06/26/2012
- **Last updated:** 06/27/2012