Organization
ASPEN MEDICAL STAFFING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN O'NEIL DPT (PHYSICAL THERAPIST)
(763) 226-6046
Entity
Organization
Contact information
Practice address
1894 37TH ST SE, SAINT CLOUD, MN 56304-9508
(320) 227-2606
Mailing address
1894 37TH ST SE, ST. CLOUD, MN 56304
(320) 227-2606
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1955
SD
Other
Enumeration date
03/28/2017
Last updated
03/28/2017
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