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Organization
THERAPYWERKS PA
Active
Organization
THERAPYWERKS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL HOWARD HOUGAN PHYSICAL THERAPIST (OWNER)
(507) 332-2204
Entity
Organization
Contact information
Practice address
1620 17TH ST NW, FARIBAULT, MN 55021-2839
(507) 332-2204
(507) 332-2270
Mailing address
1620 17TH ST NW, FARIBAULT, MN 55021-2839
(507) 332-2204
(507) 332-2270
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1283
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1012550
PREFERRED ONE GROUP #
MN
01
—
116113
U-CARE GROUP #
MN
05
—
272078700
—
MN
01
—
44229
HEALTH PARTNERS GROUP #
MN
01
—
8B432TH
BCBS GROUP NUMBER
MN
Enumeration date
02/10/2006
Last updated
07/15/2009
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