Edward Richard Range PT

NPI 1093822777 - Physical Therapist - 225100000X

NPI Details
NPI 1093822777
Gender Male
Enumeration Date 08/25/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
4080 W BROADWAY AVE
ROBBINSDALE MN, 55422-5604, US
Phone (763) 533-0541
Fax
Business Location
4710 ORCHARD AVE N
CRYSTAL MN, 55429-3736, US
Phone
Fax
Toxanomy
Taxonomy Code 225100000X
License State Minnesota
License Number 762
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According to our database, Edward Richard Range PT NPI is 1093822777, taxonomy code is 225100000X and license number is 762, license state is located at Minnesota. Edward Richard Range PT physically located at 4080 W Broadway Ave, Robbinsdale MN, 55422-5604. NPI Number Edward Richard Range PT has the Individual type.

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1093822777 NPI number is provided on an as is basis without warranty of any kind. 1093822777 is maintained by the National Plan & Provider Enumeration System. The contents of Edward Richard Range PT are for informational purposes only.