Organization
NORTHSIDE RESOURCE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ABSHIR MOHAMED (OWNER)
(612) 709-1440
Entity
Organization
Contact information
Practice address
526 121ST AVE NE, BLAINE, MN 55434-3380
(612) 709-1440
Mailing address
2733 PARK AVE, MINNEAPOLIS, MN 55407-1008
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
12/01/2014
Last updated
06/29/2015
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