Orthopedic & Sports Rehabiliation, LLC
NPI #1821205394 in Chanhassen, Minnesota
Provider Information
- NPI Number
- 1821205394
- Entity Type
- Organization
- Organization Name
- Orthopedic & Sports Rehabiliation, LLC
- Primary Specialty
- Specialist
- Enumeration Date
- May 16, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 7872 CENTURY BLVD
- City
- Chanhassen
- State
- Minnesota
- ZIP Code
- 55317-8005
- Phone
- (952) 448-9081
Authorized Official
- Name
- RUSTY WALLMAN
- Title
- OWNER
- Phone
- (952) 448-9081
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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