Individual
DR. PETER RICHARD STANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
444 N CORDOVA AVE, LE CENTER, MN 56057-1704
(507) 357-3375
Mailing address
4301 PARK GLEN RD APT 230, MINNEAPOLIS, MN 55416-4786
(763) 843-6664
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11070
MN
Other
Enumeration date
05/14/2018
Last updated
05/14/2018
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