Individual
REILLY PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
7241 UNIVERSITY AVE NE, FRIDLEY, MN 55432-3134
(763) 450-9400
Mailing address
7241 UNIVERSITY AVE NE, FRIDLEY, MN 55432-3134
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13055
MN
Other
Enumeration date
05/25/2023
Last updated
05/25/2023
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