Hunter Lake, PT, DPT
NPI #1255172482 in East Grand Forks, Minnesota
Provider Information
- NPI Number
- 1255172482
- Entity Type
- Individual
- Name
- Hunter Lake, PT, DPT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapist
- Credential
- PT, DPT
- Enumeration Date
- Jun 3, 2024
- Last Updated
- Jul 13, 2024
Practice Location
- Address
- 625 DEMERS AVE
- City
- East Grand Forks
- State
- Minnesota
- ZIP Code
- 56721-1833
- Phone
- (218) 773-5858
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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