Great River Therapy INC

NPI #1003128869 in Red Wing, Minnesota

Provider Information

NPI Number: 1003128869
Entity Type: Organization
Organization Name: Great River Therapy INC
Primary Specialty: Physical Therapist
Enumeration Date: Jul 9, 2010
Last Updated: Jul 9, 2010

Practice Location

Address: 416 W 3RD ST
City: Red Wing
State: Minnesota
ZIP Code: 55066-2384
Phone: (651) 388-7511

Authorized Official

Name: ERIK RAMSEY GRAM, PT
Title: PRESIDENT
Phone: (651) 388-7511

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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