Individual
MR. RALPH JAMES THROCKMORTON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
8290 UNIVERSITY AVE NE, 300, FRIDLEY, MN 55432-1847
(763) 784-2340
(763) 786-1046
Mailing address
9138 BATAAN ST NE, BLAINE, MN 55449-5615
(763) 784-2340
(763) 786-1046
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2614
MN
Other
Enumeration date
03/06/2006
Last updated
07/08/2007
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