Maverick Physiotherapy LLC
NPI #1073185393 in Saint Paul, Minnesota
Provider Information
- NPI Number
- 1073185393
- Entity Type
- Organization
- Organization Name
- Maverick Physiotherapy LLC
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Jul 15, 2021
- Last Updated
- Sep 10, 2021
Practice Location
- Address
- 155 EATON ST
- City
- Saint Paul
- State
- Minnesota
- ZIP Code
- 55107-1602
- Phone
- (612) 642-1847
Authorized Official
- Name
- DR. MASON RICHLEN, DPT, PT
- Title
- CO-OWNER
- Phone
- (715) 271-0303
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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