Organization
RENEW PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY PAPPENFUS CLOUTIER (OWNER)
(651) 699-4169
Entity
Organization
Contact information
Practice address
625 SNELLING AVE S, SAINT PAUL, MN 55116-1529
(651) 699-4169
(651) 493-7446
Mailing address
625 SNELLING AVE S, SAINT PAUL, MN 55116-1529
(651) 699-4169
(651) 493-7446
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
01/08/2013
Last updated
01/08/2013
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