Organization
PROACTIVE REHAB AND WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATIE ROSE WENDROTH PT (OWNER)
(701) 318-2402
Entity
Organization
Contact information
Practice address
29161 LAKE AVE, PAYNESVILLE, MN 56362-9385
(701) 318-2402
Mailing address
29161 LAKE AVE, PAYNESVILLE, MN 56362-9385
(701) 318-2402
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
09/11/2021
Last updated
09/11/2021
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