Individual
DR. JARRED PAUL RENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
7225 UNIVERSITY AVE NE, FRIDLEY, MN 55432
(763) 236-2150
(763) 236-2155
Mailing address
14230 URANIUM ST NW, RAMSEY, MN 55303
(763) 208-1591
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7626
MN
Other
Enumeration date
05/03/2007
Last updated
07/08/2007
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