Northside Resource, Inc.

NPI #1346647773 in Blaine, Minnesota

Provider Information

NPI Number: 1346647773
Entity Type: Organization
Organization Name: Northside Resource, Inc.
Primary Specialty: Physical Therapist
Enumeration Date: Dec 1, 2014
Last Updated: Jun 29, 2015

Practice Location

Address: 526 121ST AVE NE
City: Blaine
State: Minnesota
ZIP Code: 55434-3380
Phone: (612) 709-1440

Authorized Official

Name: MR. ABSHIR MOHAMED
Title: OWNER
Phone: (612) 709-1440

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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