Southgate Physical Therapy , Ltd

NPI #1730390899 in Minneapolis, Minnesota

Provider Information

NPI Number: 1730390899
Entity Type: Organization
Organization Name: Southgate Physical Therapy , Ltd
Primary Specialty: Physical Therapist
Enumeration Date: May 24, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 3017 BLOOMINGTON AVE
City: Minneapolis
State: Minnesota
ZIP Code: 55407-1715
Phone: (612) 721-7981

Authorized Official

Name: MRS. SUSAN GRIMES
Title: CLINIC MANAGER
Phone: (651) 905-3783

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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