Organization
LIFE FORCE-CERVELLA, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES E WILLIAMS (ADMINISTRATOR)
(763) 694-7000
Entity
Organization
Contact information
Practice address
3555 PLYMOUTH BLVD, SUITE 218, PLYMOUTH, MN 55447-1389
(763) 694-7000
(763) 694-7116
Mailing address
3555 PLYMOUTH BLVD, SUITE 218, PLYMOUTH, MN 55447-1389
(763) 694-7000
(763) 694-7116
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
07/27/2007
Last updated
07/27/2007
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