Organization
MODERN ACCESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DYLAN MACKEY (OWNER)
(507) 881-0383
Entity
Organization
Contact information
Practice address
4820 SPIRE LN NW, ROCHESTER, MN 55901-5019
(507) 881-0383
Mailing address
4820 SPIRE LN NW, ROCHESTER, MN 55901-5019
(507) 881-0383
Taxonomy
Speciality
Code
Description
License number
State
225XE0001X
Environmental Modification Occupational Therapist
Primary
—
—
Other
Enumeration date
08/13/2024
Last updated
08/13/2024
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