Samuel Fedo, ATC
NPI #1639131279 in Burnsville, Minnesota
Provider Information
- NPI Number
- 1639131279
- Entity Type
- Individual
- Name
- Samuel Fedo, ATC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Rehabilitation Practitioner
- Credential
- ATC
- Enumeration Date
- Apr 6, 2006
- Last Updated
- Feb 2, 2011
Practice Location
- Address
- 501 E NICOLLET BLVD
- Address 2
- SUITE 100
- City
- Burnsville
- State
- Minnesota
- ZIP Code
- 55337-6732
- Phone
- (952) 460-4900
Specialties & Taxonomy Codes
| Specialty |
|---|
| Rehabilitation Practitioner |
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