Individual
DEREK KOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
109 5TH ST NE, LITTLE FALLS, MN 56345-2732
(320) 631-1104
(320) 631-1105
Mailing address
PO BOX 737, HOWARD LAKE, MN 55349-0737
(320) 543-1103
(320) 543-1105
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11754
MN
Other
Enumeration date
07/03/2018
Last updated
03/27/2023
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