Organization
ORTHOPEDIC AND SPORTS REHABILITATION PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN COLLIN (ATHLETIC TRAINER)
(952) 512-2400
Entity
Organization
Contact information
Practice address
7872 CENTURY BLVD, CHANHASSEN, MN 55317-8005
(952) 448-9088
Mailing address
7872 CENTURY BLVD, CHANHASSEN, MN 55317-8005
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2365
MN
Other
Enumeration date
08/16/2013
Last updated
08/16/2013
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