Organization
HAVEN PHYSICAL THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STUART THOMAS LEERSSEN PT (OWNER / DIRECTOR)
(218) 885-1282
Entity
Organization
Contact information
Practice address
832 1ST ST STE 140, NASHWAUK, MN 55769-1245
(218) 885-1282
(218) 885-1471
Mailing address
832 1ST ST STE 140, NASHWAUK, MN 55769-1245
(218) 885-1282
(218) 885-1471
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
7201
MN
Other
Enumeration date
01/24/2013
Last updated
01/24/2013
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