Individual
VINCENT SIKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1000 RADIO DR STE 120, WOODBURY, MN 55125-8410
(651) 753-6100
Mailing address
1000 RADIO DR STE 120, WOODBURY, MN 55125-8410
(651) 753-6100
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A1778
MN
Other
Enumeration date
05/03/2021
Last updated
05/03/2021
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