Individual
CRAIG JOHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2630 PINEVIEW LN N, PLYMOUTH, MN 55441-2838
(612) 210-6643
Mailing address
2630 PINEVIEW LN N, PLYMOUTH, MN 55441-2838
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7058
MN
Other
Enumeration date
01/28/2010
Last updated
01/28/2010
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