Individual
ERIC B POLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1935 COUNTY ROAD B2 W STE 405, ROSEVILLE, MN 55113-2797
(651) 635-0578
Mailing address
7581 9TH ST N STE 100, OAKDALE, MN 55128-6635
(651) 748-4338
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2601
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
990824200
—
MN
Enumeration date
11/03/2006
Last updated
09/30/2019
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