Individual
NATHAN DUANE BRUBAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
4050 COON RAPIDS BLVD NW, COON RAPIDS, MN 55433-2522
(612) 210-5260
Mailing address
4050 COON RAPIDS BLVD NW, COON RAPIDS, MN 55433-2522
(612) 210-5260
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11601
MN
Other
Enumeration date
08/21/2019
Last updated
08/21/2019
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