Organization
NAUTILUS LLC
Active
Other names
Replenish Wellbeing
Organization subpart
No
Provider details
NPI number
Authorized official
ANNAMARIA MCCONVILLE PT (FOUNDER)
(612) 845-0707
Entity
Organization
Contact information
Practice address
4014 RUSSELL AVE N, MINNEAPOLIS, MN 55412-1546
(612) 845-0707
Mailing address
4014 RUSSELL AVE N, MINNEAPOLIS, MN 55412-1546
(612) 845-0707
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7889
MN
Other
Enumeration date
05/02/2016
Last updated
05/02/2016
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