Individual
JOHN BERTUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1155 COUNTY ROAD E E, VADNAIS HEIGHTS, MN 55110-5183
(651) 770-0176
Mailing address
4725 MINNETONKA BLVD, APT 108, SAINT LOUIS PARK, MN 55416-5711
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9312
MN
Other
Enumeration date
09/23/2013
Last updated
09/23/2013
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