Individual
DR. MASON RICHLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT, PT
Contact information
Practice address
155 EATON ST, SAINT PAUL, MN 55107-1602
(612) 642-1847
Mailing address
5526 JENNI LN, WHITE BEAR LAKE, MN 55110-5706
(715) 271-0303
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12286
MN
Other
Enumeration date
07/14/2021
Last updated
07/14/2021
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