Individual
MR. DENNIS J MCENTAFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
1512 SERVICE DR, WINONA, MN 55987-3803
(507) 474-6900
(507) 474-0502
Mailing address
1512 SERVICE DR, WINONA, MN 55987-3803
(507) 474-6900
(507) 474-0502
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5704
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
839662100
—
MN
Enumeration date
01/27/2006
Last updated
01/20/2012
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