Individual
RUSTY WALLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
7872 CENTURY BOULEVARD, CHANHASSEN, MN 55317
(952) 448-9081
(952) 448-9088
Mailing address
7872 CENTURY BOULEVARD, CHANHASSEN, MN 55317
(952) 448-9081
(952) 448-9088
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
Primary
6935
MN
Other
Enumeration date
09/06/2006
Last updated
07/08/2007
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