Park Avenue Therapies

NPI #1437127834 in Cloquet, Minnesota

Provider Information

NPI Number: 1437127834
Entity Type: Organization
Organization Name: Park Avenue Therapies
Primary Specialty: Physical Therapist
Enumeration Date: Mar 10, 2006
Last Updated: Nov 21, 2007

Practice Location

Address: 1204 CLOQUET AVE
City: Cloquet
State: Minnesota
ZIP Code: 55720-1622
Phone: (218) 878-0805

Authorized Official

Name: RHONDA J. JOHNSON, P.T.
Title: OWNER
Phone: (218) 878-0805

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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