Organization
FOLEY PHYSICAL REHAB INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL ERIC MILEJCZAK MSPT (PRESIDENT/PHYSICAL THERAPIST)
(320) 968-4677
Entity
Organization
Contact information
Practice address
400 BROADWAY AVE N, FOLEY, MN 56329-8794
(320) 968-4677
(320) 968-7909
Mailing address
400 BROADWAY AVE N, PO BOX 416, FOLEY, MN 56329-8794
(320) 968-4677
(320) 968-7909
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
065M7FO
BCBS
MN
01
—
1031097
PREFERRED ONE
MN
01
—
169330
UCARE
MN
01
—
7312142
AETNA
MN
01
—
84508
HEALTH PARTNERS
MN
Enumeration date
09/29/2005
Last updated
08/22/2020
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