Individual
TOM S ROTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4021 VERNON AVE S STE 210, ST LOUIS PARK, MN 55416-2802
(612) 486-2612
Mailing address
4021 VERNON AVE S STE 210, ST LOUIS PARK, MN 55416-2802
(612) 486-2612
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
05/25/2021
Last updated
05/25/2021
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