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Organization
TWIN CITIES PHYSICAL THERAPY AND REHABILITATION
Active
Organization
TWIN CITIES PHYSICAL THERAPY AND REHABILITATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANICE K RAVERTY (CLINIC ADMINISTRATOR)
(651) 224-8264
Entity
Organization
Contact information
Practice address
2520 PILOT KNOB RD, 250, MENDOTA HEIGHTS, MN 55120-1137
(651) 224-8264
Mailing address
2520 PILOT KNOB RD, 250, MENDOTA HEIGHTS, MN 55120-1137
(651) 224-8264
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4417
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
483439900
—
MN
Enumeration date
05/04/2006
Last updated
10/06/2010
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