Individual
GRADY GLYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
3050 CENTRE POINTE DR, SUITE NUMBER 200, ROSEVILLE, MN 55113-1102
(651) 631-4242
Mailing address
14660 LOLA AVE, WASECA, MN 56093-9002
(507) 461-1819
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9811
MN
Other
Enumeration date
10/28/2014
Last updated
10/28/2014
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