Organization
PAXXON HEALTHCARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER BERKLEY (PRESIDENT)
(516) 510-9884
Entity
Organization
Contact information
Practice address
3663 PARK CENTER BLVD, ST LOUIS PARK, MN 55416-2532
(952) 925-6231
(952) 926-6823
Mailing address
10 NEW KING ST, SUITE 105, WHITE PLAINS, NY 10604-1205
(914) 390-9880
(914) 390-9881
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
06/26/2012
Last updated
06/27/2012
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