Individual
CHARLES BROBACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT, CSCS
Contact information
Practice address
8301 GOLDEN VALLEY RD STE 202, GOLDEN VALLEY, MN 55427-4475
(763) 533-0833
Mailing address
717 2ND ST NE APT 2, MINNEAPOLIS, MN 55413-1907
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11910
MN
2251S0007X
Sports Physical Therapist
—
—
Other
Enumeration date
07/15/2020
Last updated
07/21/2020
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