Individual
BRENT DANIEL JORUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1655 BEAM AVE, SUITE 308, MAPLEWOOD, MN 55109-1163
(651) 439-8807
Mailing address
4200 DAHLBERG DR, SUITE 300, GOLDEN VALLEY, MN 55422-4840
(952) 512-5600
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6979
MN
Other
Enumeration date
10/06/2006
Last updated
08/15/2016
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