Individual
REBECCA D FEDIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1200 CHASKA CREEK WAY STE 200, CHASKA, MN 55318-2749
(952) 927-2960
Mailing address
4200 DAHLBERG DR STE 300, GOLDEN VALLEY, MN 55422-4841
(952) 512-5600
(952) 512-5651
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
10575
WI
225100000X
Physical Therapist
Primary
12766
MN
225100000X
Physical Therapist
5215
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40477800
—
WI
Enumeration date
03/08/2006
Last updated
10/19/2022
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