Individual
DR. PHILIP SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
3390 ANNAPOLIS LN N, PLYMOUTH, MN 55447-5378
(763) 767-0854
Mailing address
8935 UMBRIA PL N, MAPLE GROVE, MN 55311-1107
(330) 328-9142
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12165
MN
225100000X
Physical Therapist
PT016727
OH
Other
Enumeration date
03/04/2021
Last updated
04/23/2021
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