Organization
PRAIRIE LAKES THERAPIES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY EDWARD LOHN P.T. (PRESIDENT-OWNER)
(320) 231-1114
Entity
Organization
Contact information
Practice address
2182 66TH AVE NE, WILLMAR, MN 56201-9127
(320) 231-1114
Mailing address
2182 66TH AVE NE, WILLMAR, MN 56201-9127
(320) 231-1114
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
756
MN
Other
Enumeration date
10/29/2007
Last updated
10/29/2007
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