Individual
SCOTT PATRICK RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
5601 96TH AVE N STE 100, BROOKLYN PARK, MN 55443-4505
(763) 786-9543
(763) 786-3320
Mailing address
4200 DAHLBERG DR STE 300, GOLDEN VALLEY, MN 55422-4841
(952) 512-5600
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13120
MN
Other
Enumeration date
05/24/2023
Last updated
06/08/2023
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