Organization
REVIVAL PHYSICAL THERAPY AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENJAMIN BRITTON DPT (CO-OWNER, PHYSICAL THERAPIST)
(952) 220-3105
Entity
Organization
Contact information
Practice address
4123 W BROADWAY AVE, ROBBINSDALE, MN 55422-1808
(612) 605-7594
Mailing address
11630 IDAHO AVE N, CHAMPLIN, MN 55316-2894
(952) 220-3105
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
02/12/2024
Last updated
02/12/2024
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