Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Maureen H Mordick, CTRS

Individual provider Recreation Therapist · NPI 1134492010

Maureen H Mordick, CTRS is a Recreation Therapist in Saint Paul, Minnesota. Registered with an NPI since 2012.

In the registry since
2012
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Practice location Address checks out

640 Jackson St Mailstop 11102D
Saint Paul, MN 55101-2502
Phone: (651) 254-5540
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Recreation Therapist (primary) Taxonomy 225800000X · Licence 28403

Record details

NPI number1134492010
Entity typeIndividual (Type 1)
GenderFemale
Credentials CTRS
Sole proprietorNo
NPI enumeratedFebruary 22, 2012
Last updated in NPPESFebruary 22, 2012

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