Supreme Physical Therapy, Inc.

NPI #1255303095 in Minneapolis, Minnesota

Provider Information

NPI Number: 1255303095
Entity Type: Organization
Organization Name: Supreme Physical Therapy, Inc.
Primary Specialty: Physical Therapist
Enumeration Date: Feb 6, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 5201 CHOWEN AVE S
City: Minneapolis
State: Minnesota
ZIP Code: 55410-2121
Phone: (612) 805-2741

Authorized Official

Name: SUSAN MARY PRIEM, PHYSICAL THERAPIST
Title: OWNER
Phone: (612) 805-2741

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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