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Organization

MONTICELLO PHYSICAL THERAPY & SPORTS MEDICINE, LLC

Active
Other names
Monticello Physical Therapy
Organization subpart
No

Provider details

NPI number
Authorized official
PAUL WILLIAM STOKMAN (PHYSICAL THERAPIST -OWNER)
(320) 963-2023
Entity
Organization

Contact information

Practice address
1125 S CEDAR STREET SUITE 103, MONTICELLO, MN 55362
(763) 295-4201
(763) 295-3895
Mailing address
307 MAPLE AVE. S, PO BOX 834, MAPLE LAKE, MN 55358
(320) 963-2023
(320) 963-2023

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5232
MN

Other

Enumeration date
05/03/2007
Last updated
08/22/2020
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