Organization
ADVANTAGE THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHAD ALAN BARIBEAU PT (PRESIDENT/PHYSICAL THERAPIST)
(218) 780-4554
Entity
Organization
Contact information
Practice address
227 MCKINLEY AVE, EVELETH, MN 55734-1606
(218) 780-4554
(218) 744-9631
Mailing address
227 MCKINLEY AVE, EVELETH, MN 55734-1606
(218) 780-4554
(218) 744-9631
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6361
MN
225X00000X
Occupational Therapist
101012
MN
Other
Enumeration date
08/09/2017
Last updated
08/09/2017
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