Individual
PAUL ROBERT DUXBURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1560 BEAM AVE, SUITE D, MAPLEWOOD, MN 55109-1171
(651) 767-1756
(651) 968-5908
Mailing address
PO BOX 86 SDS 12 2901, MINNEAPOLIS, MN 55486-2901
(651) 968-5050
(651) 968-5900
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
1994
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00019018
RAILROAD MEDICARE
MN
Enumeration date
03/14/2006
Last updated
10/26/2009
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