Individual
CONNOR GRAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
701 DELLWOOD ST S, CAMBRIDGE, MN 55008-1920
(763) 688-7782
Mailing address
52 LITCHFIELD ST, SAINT PAUL, MN 55117-5405
(715) 222-6126
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
9826
MN
Other
Enumeration date
10/10/2014
Last updated
10/10/2014
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