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Organization
SOUTHGATE PHYSICAL THERAPY , LTD
Active
Organization
SOUTHGATE PHYSICAL THERAPY , LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN GRIMES (CLINIC MANAGER)
(651) 905-3783
Entity
Organization
Contact information
Practice address
3017 BLOOMINGTON AVE, MINNEAPOLIS, MN 55407-1715
(612) 721-7981
(612) 721-7981
Mailing address
1150 CENTRE POINTE CURV, #101, MENDOTA HEIGHTS, MN 55120-1280
(651) 905-3783
(651) 686-4010
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
669
MN
Other
Enumeration date
05/24/2007
Last updated
08/22/2020
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