Individual
MR. THOMAS LETRUD II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
10 4TH ST SE, ORTONVILLE, MN 56278
(320) 305-1311
Mailing address
10 4TH ST SE, ORTONVILLE, MN 56278-1532
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0271
SD
Other
Enumeration date
09/26/2017
Last updated
09/26/2017
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