Individual
MR. JASON TANK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSPT
Contact information
Practice address
18325 DULUTH ST, FARMINGTON, MN 55024-7097
(612) 217-1044
Mailing address
18325 DULUTH ST, FARMINGTON, MN 55024-7097
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6735
MN
Other
Enumeration date
03/16/2011
Last updated
03/16/2011
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