Organization
NORTH BORN PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIA NELSON PT (OWNER)
(218) 469-3320
Entity
Organization
Contact information
Practice address
218 HORACE AVE. NORTH, THIEF RIVER FALLS, MN 56701
(218) 653-1004
Mailing address
218 HORACE AVE N, THIEF RIVER FALLS, MN 56701-2025
(218) 653-1004
(218) 653-1058
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1265885834
—
MN
Enumeration date
03/31/2022
Last updated
09/09/2024
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