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Individual

MR. CHAD M KOFOED

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
8100 NORTHLAND DR, BLOOMINGTON, MN 55431-4800
(952) 831-8742
Mailing address
8100 NORTHLAND DR, BLOOMINGTON, MN 55431-4800
(952) 831-8742

Taxonomy

Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
2785
MN

Other

Enumeration date
07/12/2011
Last updated
07/12/2011
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