Jeffrey James Dagen RPT

NPI 1386862449 - Physical Therapist - 225100000X

NPI Details
NPI 1386862449
Gender Male
Enumeration Date 04/23/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
204 LEWIS AVE S
SUITE 210
WATERTOWN MN, 55388-4500, US
Phone (952) 955-2242
Fax (952) 955-2010
Business Location
2836 WHITE EAGLE DR
WOODBURY MN, 55129-4291, US
Phone (952) 955-2242
Fax (952) 955-2010
Toxanomy
Taxonomy Code 225100000X
License State Minnesota
License Number 4502
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According to our database, Mr. Jeffrey James Dagen RPT NPI is 1386862449, taxonomy code is 225100000X and license number is 4502, license state is located at Minnesota. Jeffrey James Dagen RPT physically located at 204 Lewis Ave S, Watertown MN, 55388-4500. NPI Number Jeffrey James Dagen RPT has the Individual type.

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1386862449 NPI number is provided on an as is basis without warranty of any kind. 1386862449 is maintained by the National Plan & Provider Enumeration System. The contents of Jeffrey James Dagen RPT are for informational purposes only.