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Individual

BRYAN DORN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
23505 SMITHTOWN RD STE 100, EXCELSIOR, MN 55331-4542
(952) 470-8555
(952) 401-8785
Mailing address
23505 SMITHTOWN RD STE 100, EXCELSIOR, MN 55331-4542
(952) 470-8555
(952) 401-8785

Taxonomy

Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
Primary
5623
OR
2251X0800X
Orthopedic Physical Therapist
5623
OR

Other

Enumeration date
05/28/2008
Last updated
10/05/2009
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