Organization
FAMILY PHYSICAL THERAPY & WELLNESS CENTRE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA ANN BREWSTER M.P.T. (OWNER)
(612) 875-2739
Entity
Organization
Contact information
Practice address
4401 EGAN DR STE 200, SAVAGE, MN 55378-2024
(952) 746-4162
(952) 808-3112
Mailing address
4401 EGAN DRIVE, STE 200, SAVAGE, MN 55378
(952) 746-4162
(952) 808-3112
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
7274
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
504177500
—
MN
01
—
726T3FA
BLUECROSS BLUESHIELD
MN
Enumeration date
05/25/2007
Last updated
05/17/2023
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