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Individual

RYAN TORGRUDE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
10091 DOGWOOD ST NW STE 100, COON RAPIDS, MN 55448-5275
(763) 450-0298
Mailing address
10091 DOGWOOD ST NW STE 100, COON RAPIDS, MN 55448-5275
(763) 450-0298

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7184
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
837933500
MN
Enumeration date
11/03/2006
Last updated
01/16/2020
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