Individual
ADAM DRU PARDOEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11623 ARBOR ST, OMAHA, NE 68144-2981
(180) 033-4191
Mailing address
1508 ORIOLE AVE, SARTELL, MN 56377-4405
(320) 217-8246
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A476
MN
Other
Enumeration date
09/30/2008
Last updated
09/30/2008
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