Individual
PATRICIA J CORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3580 ARCADE ST, VADNAIS HEIGHTS, MN 55127-7135
(651) 968-5770
(651) 968-5775
Mailing address
710 COMMERCE DR STE 200, WOODBURY, MN 55125-4925
(651) 968-5904
(651) 968-5904
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
6064
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1619920568
—
MN
01
—
65001461
MEDICARE PROVIDER NUMBER
MN
01
—
P00408766
RAILROAD MEDICARE
MN
Enumeration date
05/19/2006
Last updated
07/01/2015
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