Organization
MINNESOTA LUNA CARE PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLARISA ODELL (DIRECTOR)
(650) 867-0522
Entity
Organization
Contact information
Practice address
428 MINNESOTA ST STE 500, SAINT PAUL, MN 55101-2666
(877) 839-6979
Mailing address
PO BOX 2350, ROCKLIN, CA 95677-8350
(650) 867-0522
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
11/25/2020
Last updated
08/11/2022
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