Thomas Stork

NPI #1457460032 in Cottage Grove, Minnesota

Provider Information

NPI Number: 1457460032
Entity Type: Individual
Name: Thomas Stork
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Aug 29, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 7155 80TH ST S
Address 2: STE 140
City: Cottage Grove
State: Minnesota
ZIP Code: 55016-3033
Phone: (651) 459-9686

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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