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Individual

MR. PETER JAMES KOWALKOWSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.T.

Contact information

Practice address
1570 BEAM AVE, SUITE 200, MAPLEWOOD, MN 55109-1166
(651) 232-7820
Mailing address
1570 BEAM AVE, SUITE 200, MAPLEWOOD, MN 55109-1166
(651) 232-7820

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070-014116
IL

Other

Enumeration date
05/17/2006
Last updated
02/08/2014
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