|Active||Over 11 years ago|
|775 PRAIRIE CENTER DR
EDEN PRAIRIE MN, 55344-7314, US
|19540 VINE RIDGE RD
EXCELSIOR MN, 55331-9118, US
|Remove 1689789554 NPI Number|
According to our database, Richard Bom PT NPI is 1689789554, taxonomy code is 225100000X and license number is 2704, license state is located at Minnesota. Richard Bom PT physically located at 775 Prairie Center Dr, Eden Prairie MN, 55344-7314. NPI Number Richard Bom PT has the Individual type.
1689789554 NPI number is provided on an as is basis without warranty of any kind. 1689789554 is maintained by the National Plan & Provider Enumeration System. The contents of Richard Bom PT are for informational purposes only.