Individual
JEFFREY RYAN HALBLEIB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
3030 OAKVIEW LN N, PLYMOUTH, MN 55441-2850
(310) 903-3775
Mailing address
3030 OAKVIEW LN N, PLYMOUTH, MN 55441-2850
(310) 903-3775
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
12098
MN
Other
Enumeration date
11/07/2021
Last updated
11/07/2021
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