# TWIN CITIES OCCUPATIONAL HEALTH AND REHABILITATION

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

## Provider details

- **NPI number:** 1770780876
- **Authorized official:** JANICE K RAVERTY (CLINIC ADMINISTRATOR)
- **Authorized official phone:** (651) 224-8264

## Contact information

- **Practice address:** 10190 BALTIMORE STREET NORTH EAST, SUITE 100, BLAINE, MN 55449
- **Practice address phone:** (763) 780-8264
- **Practice address fax:** (763) 780-8274
- **Mailing address:** 10190 BALTIMORE STREET NORTH EAST, SUITE 100, BLAINE, MN 55449
- **Mailing address phone:** (763) 780-8264
- **Mailing address fax:** (763) 780-8274

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QX0100X | Occupational Medicine Clinic/Center | 30816 | MN | Yes |
| 261QX0100X | Occupational Medicine Clinic/Center | 42667 | MN | — |

## Other

- **Enumeration date:** 07/02/2007
- **Last updated:** 10/20/2010