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Organization
VIVERANT, LLC
Active
Organization
VIVERANT, LLC
Active
Parent organization
VIVERANT PT LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
VIVERANT PT LLC
Authorized official
DENNIS CERNOHOUS (BUSINESS PARTNER)
(651) 283-6364
Entity
Organization
Contact information
Practice address
7815 3RD ST N, STE 203, OAKDALE, MN 55128-5447
(952) 835-4512
(518) 677-1149
Mailing address
7815 3RD ST N, STE 203, OAKDALE, MN 55128-5447
(952) 835-4512
(518) 677-1149
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
06/25/2006
Last updated
06/01/2020
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