Individual
CHAD ALLAN SLATTENGREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
7505 COUNTRY CLUB DR, GOLDEN VALLEY, MN 55427-4501
(763) 545-0416
Mailing address
7505 COUNTRYCLUB DR., GOLDEN VALLEY, MN 55427
(763) 545-0416
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
04/14/2008
Last updated
04/14/2008
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