Organization
ALLINA HEALTH SYSTEM
Active
Other names
Courage Kenny Rehabilitation Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DOMINICA TALLARICO (COO)
(612) 222-2222
Entity
Organization
Contact information
Practice address
11850 BLACKFOOT ST NW STE 405, COON RAPIDS, MN 55433-2773
(763) 236-0888
Mailing address
PO BOX 43, MAIL ROUTE 10585, MINNEAPOLIS, MN 55440-0043
(612) 262-1166
(612) 262-4258
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
10/17/2016
Last updated
02/25/2025
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