Organization
NORTHERN STAR THERAPY LTD
Active
Organization
NORTHERN STAR THERAPY LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL WEAVER PT (CEO)
(320) 240-6955
Entity
Organization
Contact information
Practice address
166 19TH ST S, SUITE 202, SARTELL, MN 56377-4654
(320) 257-2225
(320) 257-2226
Mailing address
251 COUNTY ROAD 120, SUITE A, SAINT CLOUD, MN 56303
(320) 259-5429
(320) 240-8905
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
02/11/2008
Last updated
02/11/2008
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