Individual
RODERICK LAINE YOUNGDAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
111 HUNDERTMARK RD STE 240, CHASKA, MN 55318-1198
(952) 456-7400
(952) 456-7401
Mailing address
4200 DAHLBERG DR STE 300, GOLDEN VALLEY, MN 55422-4841
(952) 512-5600
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7370
MN
Other
Enumeration date
09/14/2006
Last updated
06/08/2022
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