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Organization
PDR CHANHASSEN, LTD
Active
Organization
PDR CHANHASSEN, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TODD GINKEL DC (OWNER)
(952) 908-2565
Entity
Organization
Contact information
Practice address
18912 LAKE DR E, CHANHASSEN, MN 55317-9348
(952) 908-2730
(952) 908-2731
Mailing address
18912 LAKE DR E, CHANHASSEN, MN 55317-9348
(952) 908-2730
(952) 908-2731
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
NULL
111N00000X
Chiropractor
—
—
111NR0400X
Rehabilitation Chiropractor
—
NULL
111NR0400X
Rehabilitation Chiropractor
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
—
—
225100000X
Physical Therapist
Primary
—
NULL
225100000X
Physical Therapist
Primary
—
—
225200000X
Physical Therapy Assistant
—
NULL
225200000X
Physical Therapy Assistant
—
—
225X00000X
Occupational Therapist
—
NULL
225X00000X
Occupational Therapist
—
—
225XP0019X
Physical Rehabilitation Occupational Therapist
—
NULL
225XP0019X
Physical Rehabilitation Occupational Therapist
—
—
Other
Enumeration date
04/15/2010
Last updated
09/01/2010
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