Organization
LITTLE FALLS INTEGRATED PHYSICAL MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL CARPENTER DPT (DOCTOR OF PHYSICAL THERAPY)
(320) 414-0404
Entity
Organization
Contact information
Practice address
104 2ND ST SE, LITTLE FALLS, MN 56345-3037
(757) 617-8397
Mailing address
104 2ND ST SE, LITTLE FALLS, MN 56345-3037
(757) 617-8397
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
225100000X
Physical Therapist
—
—
Other
Enumeration date
02/19/2019
Last updated
08/02/2019
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