Life Clinic, P.a.

NPI 1023296167 - Physical Therapist - 225100000X

NPI Details
NPI 1023296167
Enumeration Date 01/31/2008
Last Updated 08/11/2014
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name REZA P REZA
Position CHIROPRACTOR
Phone (651) 690-0866
Fax
Practice Location
5525 CEDAR LAKE RD S
ST LOUIS PARK MN, 55416-1420, US
Phone (651) 690-0866
Fax
Business Location
33 HAMLINE AVE S
SAINT PAUL MN, 55105-2231, US
Phone (651) 690-0866
Fax (651) 690-0031
Toxanomy
Taxonomy Code 225100000X
License State Minnesota
License Number 8737
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According to our database, Life Clinic, P.a. NPI is 1023296167, taxonomy code is 225100000X and license number is 8737, license state is located at Minnesota. Life Clinic, P.a. physically located at 5525 Cedar Lake Rd S, St Louis Park MN, 55416-1420. NPI Number 1033115704 has the healthcare provider type.

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1023296167 NPI number is provided on an as is basis without warranty of any kind. 1023296167 is maintained by the National Plan & Provider Enumeration System. The contents of Life Clinic, P.a. are for informational purposes only.