Organization
INTEGRATED MOTION PEDIATRIC PHYSICAL THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SARA STUTSMAN MASSARO PT (PRESIDENT)
(651) 260-3774
Entity
Organization
Contact information
Practice address
4660 SLATER RD, SUITE #130, EAGAN, MN 55122-4047
(651) 260-3774
(651) 688-6389
Mailing address
4540 OAK CHASE LN, EAGAN, MN 55123-2804
(651) 260-3774
(651) 688-6389
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5428
MN
Other
Enumeration date
11/29/2006
Last updated
08/22/2020
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