# NORTH BORN PHYSICAL THERAPY PC

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

## Provider details

- **NPI number:** 1174263743
- **Authorized official:** JULIA NELSON PT (OWNER)
- **Authorized official phone:** (218) 469-3320

## Contact information

- **Practice address:** 218 HORACE AVE. NORTH, THIEF RIVER FALLS, MN 56701
- **Practice address phone:** (218) 653-1004
- **Mailing address:** 218 HORACE AVE N, THIEF RIVER FALLS, MN 56701-2025
- **Mailing address phone:** (218) 653-1004
- **Mailing address fax:** (218) 653-1058

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/31/2022
- **Last updated:** 09/09/2024