Individual
THOMAS BROBACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT, CSCS
Contact information
Practice address
14382 60TH ST N, STILLWATER, MN 55082-6311
(651) 342-0509
Mailing address
4281 143RD ST W, ROSEMOUNT, MN 55068-3671
(651) 395-1352
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
10800
MN
Other
Enumeration date
09/06/2017
Last updated
02/20/2020
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