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Organization

MAVERICK PHYSIOTHERAPY LLC

Active
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Organization

MAVERICK PHYSIOTHERAPY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MASON RICHLEN DPT, PT (CO-OWNER)
(715) 271-0303
Entity
Organization

Contact information

Practice address
155 EATON ST, SAINT PAUL, MN 55107-1602
(612) 642-1847
Mailing address
155 EATON ST, SAINT PAUL, MN 55107-1602
(612) 642-1847

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NULL
225100000X
Physical Therapist
Primary
—
—

Other

Enumeration date
07/15/2021
Last updated
09/10/2021
About Stedi
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