Organization
BACK IN ACTION REHAB, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL SWANSON (PARTNER)
(507) 334-5627
Entity
Organization
Contact information
Practice address
200 8TH AVE NW, FARIBAULT, MN 55021-5068
(507) 334-5627
(507) 334-1824
Mailing address
200 8TH AVE NW, FARIBAULT, MN 55021-5068
(507) 334-5627
(507) 334-1824
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
101875
MN
Other
Enumeration date
11/15/2006
Last updated
08/22/2020
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