Chad Allan Slattengren PTA

NPI 1134393937 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1134393937
Gender Male
Enumeration Date 04/14/2008
Last Updated 04/14/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
7505 COUNTRY CLUB DR
GOLDEN VALLEY MN, 55427-4501, US
Phone (763) 545-0416
Fax
Business Location
7505 COUNTRYCLUB DR.
GOLDEN VALLEY MN, 55427, US
Phone (763) 545-0416
Fax
Toxanomy
Taxonomy Code 225200000X
License State
License Number
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According to our database, Chad Allan Slattengren PTA NPI is 1134393937, taxonomy code is 225200000X Chad Allan Slattengren PTA physically located at 7505 Country Club Dr, Golden Valley MN, 55427-4501. NPI Number Chad Allan Slattengren PTA has the Individual type.

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1134393937 NPI number is provided on an as is basis without warranty of any kind. 1134393937 is maintained by the National Plan & Provider Enumeration System. The contents of Chad Allan Slattengren PTA are for informational purposes only.