Organization
TRIA ORTHOPAEDIC CENTER
Active
Other names
TRIA Orthopaedic Center
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY TATUM (PHYSICAL THERAPIST)
(952) 993-4734
Entity
Organization
Contact information
Practice address
8100 NORTHLAND DR, BLOOMINGTON, MN 55431-4800
(952) 993-4734
Mailing address
2186 BANEBERRY WAY W, CHANHASSEN, MN 55317-8338
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
—
—
Other
Enumeration date
06/21/2022
Last updated
06/21/2022
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