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Organization
ORTHOPEDIC AND SPORTS REHABILITATION PHYSICAL THERAPY
Active
Organization
ORTHOPEDIC AND SPORTS REHABILITATION PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN COLLIN (ATHLETIC TRAINER)
(952) 512-2400
Entity
Organization
Contact information
Practice address
7872 CENTURY BLVD, CHANHASSEN, MN 55317-8005
(952) 448-9088
Mailing address
7872 CENTURY BLVD, CHANHASSEN, MN 55317-8005
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2365
MN
Other
Enumeration date
08/16/2013
Last updated
08/16/2013
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