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Organization
PROFESSIONAL PHYSICAL THERAPY PA
Active
Organization
PROFESSIONAL PHYSICAL THERAPY PA
Active
Other names
Pro Physical Therapy PA
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL FRICKE PT (OWNER)
(952) 891-2645
Entity
Organization
Contact information
Practice address
13786 FRONTIER CT, #102, BURNSVILLE, MN 55337
(952) 891-2645
(952) 997-3410
Mailing address
27 MARCIN HILL, BURNSVILLE, MN 55337
(952) 891-2645
(952) 997-3410
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2187
MN
2251X0800X
Orthopedic Physical Therapist
2187
MN
Other
Enumeration date
01/29/2007
Last updated
06/23/2008
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