Organization
NORTHWEST INDUSTRIAL REHABILITATION SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COURTNEY BERGS (OFFICE MANAGER)
(320) 763-5505
Entity
Organization
Contact information
Practice address
410 30TH AVE E, SUITE 102, ALEXANDRIA, MN 56308-4769
(320) 763-5505
Mailing address
410 30TH AVE E, SUITE 102, ALEXANDRIA, MN 56308-4769
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
6847
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
482487300
—
MN
Enumeration date
10/27/2006
Last updated
06/11/2008
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