Individual
MR. BRIAN DANIEL LELOUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT, NCS
Contact information
Practice address
800 E 28TH ST, MINNEAPOLIS, MN 55407-3723
(612) 863-6173
Mailing address
663 SIMON AVE, SAINT PAUL, MN 55117-5622
(651) 690-0744
Taxonomy
Speciality
Code
Description
License number
State
2251N0400X
Neurology Physical Therapist
Primary
6940
MN
Other
Enumeration date
03/16/2007
Last updated
07/08/2007
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