Organization
GRAY DUCK PHYSICAL THERAPY PLLC
Active
Other names
Gray Duck Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS J MANNING DPT (OWNER)
(612) 217-2154
Entity
Organization
Contact information
Practice address
299 COON RAPIDS BLVD NW STE 103, COON RAPIDS, MN 55433-5869
(612) 217-2154
(612) 447-0159
Mailing address
299 COON RAPIDS BLVD NW STE 103, COON RAPIDS, MN 55433-5869
(612) 217-2154
(612) 447-0159
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
05/21/2021
Last updated
11/01/2021
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