Lake Superior Physical Therapy INC

NPI #1164429163 in Duluth, Minnesota

Provider Information

NPI Number
1164429163
Entity Type
Organization
Organization Name
Lake Superior Physical Therapy INC
Primary Specialty
Physical Therapist
Enumeration Date
Jul 5, 2005
Last Updated
Feb 25, 2015

Practice Location

Address
215 N CENTRAL AVE
Address 2
14B
City
Duluth
ZIP Code
55807-2402
Phone
(218) 625-6300

Authorized Official

Name
TERRI L WALLEN
Title
BUSINESS MANAGER
Phone
(218) 625-6300

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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