Organization
RHIVIVE PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RHIANNON M LEGARDE DPT (OWNER AND PHYSICAL THERAPIST)
(651) 894-4585
Entity
Organization
Contact information
Practice address
1011 MEADOWLANDS DR STE 10, WHITE BEAR LAKE, MN 55127-2306
(651) 894-4585
(612) 884-9489
Mailing address
4399 SNAIL LAKE CT E, SHOREVIEW, MN 55126-2124
(651) 894-4585
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
08/15/2022
Last updated
08/15/2022
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