Organization
ALLINA HEALTH SYSTEM
Active
Organization
ALLINA HEALTH SYSTEM
Active
Other names
Courage Kenny Rehab Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DOMINICA TALLARICO (COO)
(612) 222-2222
Entity
Organization
Contact information
Practice address
280 SMITH AVE N STE 220, ST PAUL, MN 55102-2459
(651) 241-8295
Mailing address
PO BOX 43, MAIL ROUTE 10585, MINNEAPOLIS, MN 55440-0043
(612) 262-1166
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
261Q00000X
Clinic/Center
—
—
Other
Enumeration date
08/20/2008
Last updated
02/26/2025
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