Organization
ADVANCED ARM DYNAMICS OF MINNESOTA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN M MIGUELEZ CP, FAAOP (D) (PRESIDENT)
(310) 372-3050
Entity
Organization
Contact information
Practice address
11671 FOUNTAINS DR, SUITE 220, MAPLE GROVE, MN 55369-4711
(763) 420-2767
(763) 322-1982
Mailing address
123 W TORRANCE BLVD, SUITE 203, REDONDO BEACH, CA 90277-3610
(310) 372-3050
(310) 372-3057
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1011
STATE LICENCE
MN
Enumeration date
05/20/2011
Last updated
01/16/2025
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