Individual
DAVID PAUL ENNEKING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2155 FORD PKWY, SAINT PAUL, MN 55116-1862
(651) 696-5010
Mailing address
8638 QUARRY RIDGE LN, #A, WOODBURY, MN 55125-7532
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7754
MN
Other
Enumeration date
08/11/2006
Last updated
07/08/2007
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