Organization
EAST BOUND AND DOWN REHAB PLLC
Active
Other names
Comprehensive Rehab Centers of MN
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DARRYL M HUMENNY D.C. (OWNER)
(612) 597-1371
Entity
Organization
Contact information
Practice address
2703 E LAKE ST., MPLS, MN 55406
(612) 597-1371
(763) 545-8254
Mailing address
2703 E. LAKE ST., MINNEAPOLIS, MN 55406
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4512
MN
Other
Enumeration date
01/10/2011
Last updated
02/03/2011
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