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Organization
SPINAL REHAB CLINICS, PA
Active
Organization
SPINAL REHAB CLINICS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL T CARLSON DC (CEO PRESIDENT)
(320) 252-2225
Entity
Organization
Contact information
Practice address
225 N BENTON DR STE 110, SAUK RAPIDS, MN 56379-1575
(320) 252-2225
Mailing address
225 N BENTON DR STE 110, SAUK RAPIDS, MN 56379-1574
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23823
HEALTH PARTNERS
MN
05
—
636577900
—
MN
01
—
8B401SP
BLUECROSS AND BLUE SHIELD
MN
Enumeration date
03/07/2007
Last updated
06/16/2018
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