Life Force-Cervella, INC

NPI #1538359302 in Plymouth, Minnesota

Provider Information

NPI Number: 1538359302
Entity Type: Organization
Organization Name: Life Force-Cervella, INC
Primary Specialty: Clinic/Center - Physical Therapy
Enumeration Date: Jul 27, 2007
Last Updated: Jul 27, 2007

Practice Location

Address: 3555 PLYMOUTH BLVD
Address 2: SUITE 218
City: Plymouth
State: Minnesota
ZIP Code: 55447-1389
Phone: (763) 694-7000

Authorized Official

Name: MR. JAMES E WILLIAMS
Title: ADMINISTRATOR
Phone: (763) 694-7000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Physical Therapy — Physical Therapy	261QP2000X	Primary

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