Organization
SYNERTEC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA ROHECECERE (PHYSICAL THERAPIST ASSISTANT)
(651) 426-9310
Entity
Organization
Contact information
Practice address
1119 OWENS ST N, STILLWATER, MN 55082-4316
(651) 439-7180
Mailing address
777 WILLOW GROVE LN, VADNAIS HEIGHTS, MN 55127-3571
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
A1159
MN
Other
Enumeration date
09/03/2012
Last updated
09/03/2012
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