Individual
JASON GOLDFARB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3800 AMERICAN BLVD W, BLOOMINGTON, MN 55431-4420
(952) 806-5740
Mailing address
4509 DUNBERRY LN, EDINA, MN 55435-1642
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
9250
MN
Other
Enumeration date
04/29/2013
Last updated
04/29/2013
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