Individual
ANDREW WADE AMUNDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
3305 CENTRAL PARK VILLAGE DR STE 130, EAGAN, MN 55121-7707
(651) 406-8868
Mailing address
14287 SHORE LN NE, PRIOR LAKE, MN 55372-1274
(952) 457-3558
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
05012500A.
IN
225100000X
Physical Therapist
Primary
10639
MN
225100000X
Physical Therapist
13410
AZ
225100000X
Physical Therapist
27399
MD
Other
Enumeration date
10/31/2017
Last updated
01/13/2021
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